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  • Title: [Complication rate after gastrectomy and pouch reconstruction with Longmire interposition].
    Author: Hoksch B, Müller JM.
    Journal: Zentralbl Chir; 2000; 125(11):875-9. PubMed ID: 11143509.
    Abstract:
    BACKGROUND/AIMS: To determine whether a Longmire-Interposition with or without a pouch used for reconstruction after gastrectomy influences the postoperative complication rate. METHODOLOGY: 49 patients who underwent gastrectomy with Longmire-Interposition with (n = 33) or without (n = 16) an additional pouch and 46 patients with a Roux-en-Y-reconstruction were analysed retrospectively. Complication rate and mortality were studied. RESULTS: There were no significant differences between the reconstruction groups for postoperative complications (Roux-en-Y vs. Longmire-Interposition with and without pouch: 30.4% vs. 28.6% for the morbidity; 4.3% vs. 4.1% for the mortality). CONCLUSION: These findings suggest that a Longmire-Interposition with or without a pouch for reconstruction after total gastrectomy is not connected with a higher morbidity or mortality in comparison to a Roux-en-Y-reconstruction.
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