Abstract
Significance of the Reconstruction Procedure for Feeding and Quality of Life after Gastrectomy After curative resection of gastric cancer, the reconstruction of the intestinal passage aims to allow a physiological food intake and thus to provide for good quality of life. Three partial aspects of intestinal reconstruction are: preservation of duodenal passage, reconstruction of a reservoir, and prevention of esophageal reflux. To obtain this effect, several operative procedures have been devised in the past, but meaningful analysis requires evaluation within the framework of randomized controlled trials. Irrespective of the method of reconstruction employed, all studies reported low operative mortality as a result of surgical specialization in dedicated centers. Little more information can be extracted from the trials reported so far, because of small patient numbers and because different endpoints selected for evaluation of trials preclude metaanalysis. Notwithstanding these limitations, patients appear to benefit from reservoir construction, while preservation of duodenal passage appears dispensable.
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