Evaluation of the digestive function in patients after gastrectomy with its jejunogastroplasty (interim results)

Introduction. In order to prevent severe digestive disorders after gastrectomy, more than 70 options for restoring the digestive tract have been proposed, but there is no single method of choice, as there are no studies proving the advantage of one or another method of reconstruction.Aim: To study the digestive function in patients after gastrectomy with jejuna gastroplasty (JGP), by comparative analysis with a standard Roux-en-Y.Materials and methods of research. A comprehensive examination of 64 patients who underwent gastrectomy at the Vishnevsky National Medical Research Center of Surgery was conducted at the Federal Research Centre of Nutrition and Biotechnology. Depending on the variant of reconstruction of the digestive tract, patients are divided into 2 groups: JGP (main) - 41 (64,1%) patients, and the Roux-en-Y (control) - 23 (35,9 %).Results. When examining complaints, it was revealed that patients in the JGP group have a lower degree of abdominal pain, bloating, nausea, bitterness and dry mouth. Impaired absorption of fatty acids (p=0,04) and the soaps formed from them (p= 0,01) are more common in the control group. Quality of life indicators are higher in the JGP group: physical health (55,5±23,9 vs. 46,4±17,7; p=0,03), mental health (59,3±23,2 vs. 52,4±15,6, ns), integral quality of life (58,1±24,3 vs. 49,2±17,0; p=0,008)Conclusion. Preliminary results of the study of the nutritional status of patients after gastrectomy with JGP indicate a more active intestinal absorption, a lower severity of dyspeptic disorders and better quality of life than in patients with Roux-en-Y.