nogrЭкспериментальная и клиническая гастроэнтерологияExperimental and Clinical Gastroenterology1682-8658«Global Media Technologies»10.31146/1682-8658-ecg-184-12-68-75nogr-1499Research ArticleОБЗОРREVIEWМетоды реконструкции желудочно-кишечного тракта после гастрэктомии по поводу рака желудкаMethods of gastrointestinal tract reconstruction after gastrectomy for gastric cancerhttps://orcid.org/0000-0002-9950-6575ОсмининС. В.OsmininS. V.

Осминин Сергей Викторович, кандидат медицинских наук, доцент кафедры факультетской хирургии № 1

ул. Трубецкая, д. 8, стр. 2, Москва, 119991

Sergey V. Osminin, candidate of medical sciences, assoc. prof. of the Department of faculty surgery № 1

Trubetskaya St. 8/2, Moscow, 119991

dr.osminin@gmail.comhttps://orcid.org/0000-0002-3904-6415КомаровР. Н.KomarovR. N.

Комаров Роман Николаевич, доктор медицинских наук, профессор, заведующий кафедрой факультетской хирургии № 1

ул. Трубецкая, д. 8, стр. 2, Москва, 119991

Roman N. Komarov, doctor of medical sciences, prof. of the Department of faculty surgery № 1

Trubetskaya St. 8/2, Moscow, 119991

https://orcid.org/0000-0002-0857-192XИвановД. Л.IvanovD. L.

Иванов Денис Львович, Кафедра факультетской хирургии № 1

ул. Трубецкая, д. 8, стр. 2, Москва, 119991

Denis L. Ivanov, Department of faculty surgery № 1

Trubetskaya St. 8/2, Moscow, 119991

ФГАОУ ВО Первый МГМУ им. И. М. Сеченова Минздрава РФРоссияI. M. Sechenov First Moscow Medical State UniversityRussian Federation2020221220200126875Copyright © Осминин С.В., Комаров Р.Н., Иванов Д.Л., 20202020Осминин С.В., Комаров Р.Н., Иванов Д.Л.Osminin S.V., Komarov R.N., Ivanov D.L.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.nogr.org/jour/article/view/1499

Pак желудка (РЖ) занимает третье место по смертности в мировой структуре онкологических заболеваний. Несомненно, оперативный метод является приоритетным в лечении РЖ. История развития, становления и совершенствования хирургии РЖ насчитывает уже почти 140 лет. За это время приоритетным направлением многочисленных исследований являлась разработка наиболее надежного и физиологичного метода реконструкции после гастрэктомии (ГЭ). На сегодняшний день в литературе описано более 70 различных вариантов реконструкции после ГЭ, многие из которых применяются и на практике. Глобально можно выделить два основных типа реконструктивных этапов (РЭ) после ГЭ: без сохранения и с сохранением пассажа по двенадцатиперстной кишке (ДПК). Преимущества и недостатки этих РЭ после ГЭ продолжают оставаться предметом жарких дискуссий среди хирургов, так как исследования непосредственных и отдаленных результатов различных вариантов этих операций крайне противоречивы. Мы постарались проследить основные вехи развития РЭ после ГЭ, а так же провели обзор литературы с целью выявления наиболее оптимального и физиологичного хирургического метода реконструкции у пациентов с раком желудка (РЖ) после гастрэктомии.

Stomach cancer is the third most deadly cancer in the world. Undoubtedly, the operative method is a priority in the treatment of stomach cancer. The history of development, formation and improvement of gastric cancer surgery dates back almost 140 years. During this time, the priority of numerous studies was to develop the most reliable and physiological method of reconstruction after gastrectomy. To date, the literature describes more than 70 different options for reconstruction after gastrectomy, many of which are used in practice. Globally, there are two main types of reconstructive stages after gastrectomy: without preservation and with preservation of the duodenal passage. The advantages and disadvantages of these stages after gastrectomy continue to be the subject of heated discussions among surgeons, as studies of the immediate and long-term results of various types of these operations are extremely contradictory. We did a historical literature review to identify the most optimal reconstruction method in patients with gastric cancer after gastrectomy.

рак желудкагастрэктомияеюногастропластикареконструкция по Руреконструкция типа «двойной тракт»интерпозиция тонкой кишкиGastric cancergastrectomyjejunogastroplastyRoux-en-YDouble tractjejunal interpositionReferencesSchlatter C. A. A unique case of complete removal of the stomach– Successful esophagoenterostomy recovery. Le Médecin de Réserve. 1897;52:909–914 https://doi.org/10.1038/scientificamerican01151898–18387suppSchlatter C. A. A unique case of complete removal of the stomach– Successful esophagoenterostomy recovery. Le Médecin de Réserve. 1897;52:909–914 https://doi.org/10.1038/scientificamerican01151898–18387suppNebojsa S. I., Tomislav D. R., Miroslav P. S., Goran Z. S. Miodrag N. D. Reconstructive Procedures after Total Gastrectomy for Gastric Cancer http://dx.doi.org/10.5772/intechopen.75591Nebojsa S. I., Tomislav D. R., Miroslav P. S., Goran Z. S. Miodrag N. D. Reconstructive Procedures after Total Gastrectomy for Gastric Cancer http://dx.doi.org/10.5772/intechopen.75591Lemmon WT, Paschal GW. Total gastrectomy for carcinoma of the stomach. Annals of Surgery. 1940;112:31–36. https://doi.org/10.1097/00000658–194007000–00004Lemmon WT, Paschal GW. Total gastrectomy for carcinoma of the stomach. Annals of Surgery. 1940;112:31–36. https://doi.org/10.1097/00000658–194007000–00004Lawrence WJ. Reconstruction after total gastrectomy: What is preferred technique? Journal of Surgical Oncology. 1996;63:215–220. https://doi.org/10.1002/(SICI)1096–9098(199612)63:4%3C215::AIDJSO1%3E3.0.CO;2-FLawrence WJ. Reconstruction after total gastrectomy: What is preferred technique? Journal of Surgical Oncology. 1996;63:215–220. https://doi.org/10.1002/(SICI)1096–9098(199612)63:4%3C215::AIDJSO1%3E3.0.CO;2-FWu LL, Liang H, Zhang RP, Pan Y, Wang BG. Comparative study on four different reconstruction procedures after total gastrectomy. Zhonghua Wei Chang Wai Ke Za Zhi. 2010;13:895–898.Wu LL, Liang H, Zhang RP, Pan Y, Wang BG. Comparative study on four different reconstruction procedures after total gastrectomy. Zhonghua Wei Chang Wai Ke Za Zhi. 2010;13:895–898.Piessen G, Triboulet JP, Mariette C. Reconstruction after gastrectomy: Which technique is best? Journal of Visceral Surgery. 2010;147:273–283. https://doi.org/10.1016/j.jviscsurg.2010.09.004Piessen G, Triboulet JP, Mariette C. Reconstruction after gastrectomy: Which technique is best? Journal of Visceral Surgery. 2010;147:273–283. https://doi.org/10.1016/j.jviscsurg.2010.09.004Ikard RW. Collective reviews. The Y anastomoses of César Roux. Surgery, Gynecology & Obstetrics. 1989;169:559–567.Ikard RW. Collective reviews. The Y anastomoses of César Roux. Surgery, Gynecology & Obstetrics. 1989;169:559–567.Reid MR. Total gastrectomy. Surgery, Gynecology & Obstetrics. 1925;41:667–672.Reid MR. Total gastrectomy. Surgery, Gynecology & Obstetrics. 1925;41:667–672.Orr TG. A modified technique for total gastrectomy. Archives of Surgery. 1947;54:279–286. https://doi.org/10.1001/archsurg.1947.01230070285003Orr TG. A modified technique for total gastrectomy. Archives of Surgery. 1947;54:279–286. https://doi.org/10.1001/archsurg.1947.01230070285003Юдин С. С. Этюды желудочной хирургии. М. 1955. Yudin S. S. Etudes of gastric surgery. Moscow. 1955. (In Russ.)Yudin S. S. Etudes of gastric surgery. Moscow. 1955. (In Russ.)Liedman B, Andersson H, Berglund B. Food intake after gastrectomy for gastric carcinoma: Th e role of a gastric reservoir. Th e British Journal of Surgery. 1996;83:1138– 1143. https://doi.org/10.1002/bjs.1800830835Liedman B, Andersson H, Berglund B. Food intake after gastrectomy for gastric carcinoma: Th e role of a gastric reservoir. Th e British Journal of Surgery. 1996;83:1138– 1143. https://doi.org/10.1002/bjs.1800830835Wells C, Johnston JH. Revision to the Roux-en-Y anastomosis for post-gastrectomy syndromes. Lancet. 1956;2:479–481. https://doi.org/10.1016/s0140–6736(56)91969–9Wells C, Johnston JH. Revision to the Roux-en-Y anastomosis for post-gastrectomy syndromes. Lancet. 1956;2:479–481. https://doi.org/10.1016/s0140–6736(56)91969–9Hunt CJ. Construction of food pouch from segment of jejunum as substitute for stomach in total gastrectomy. A.M.A. Archives of Surgery. 1952;64:601–608. https://doi.org/10.1001/archsurg.1952.01260020013001Hunt CJ. Construction of food pouch from segment of jejunum as substitute for stomach in total gastrectomy. A.M.A. Archives of Surgery. 1952;64:601–608. https://doi.org/10.1001/archsurg.1952.01260020013001Lawrence WJ. Reservoir construction after total gastrectomy: An instructive case. Annals of Surgery. 1962;155:191–198. https://doi.org/10.1097/00000658–196200000–00004Lawrence WJ. Reservoir construction after total gastrectomy: An instructive case. Annals of Surgery. 1962;155:191–198. https://doi.org/10.1097/00000658–196200000–00004Nakane Y, Okumura S, Akehira K. Jejunal pouch reconstruction after total gastrectomy for cancer. A randomized controlled trial. Annals of Surgery. 1995;222:27–35. https://doi.org/10.1097/00000658–199507000–00005Nakane Y, Okumura S, Akehira K. Jejunal pouch reconstruction after total gastrectomy for cancer. A randomized controlled trial. Annals of Surgery. 1995;222:27–35. https://doi.org/10.1097/00000658–199507000–00005Liedman B, Bosaeus I, Hugosson I. Long-term beneficial effects of a gastric reservoir on weight control after total gastrectomy: A study of potential mechanisms. Th e British Journal of Surgery. 1998;85:542–547. https://doi.org/10.1046/j.1365–2168.1998.00747.xLiedman B, Bosaeus I, Hugosson I. Long-term beneficial effects of a gastric reservoir on weight control after total gastrectomy: A study of potential mechanisms. Th e British Journal of Surgery. 1998;85:542–547. https://doi.org/10.1046/j.1365–2168.1998.00747.xHorvath OP, Kalmar K, Cseke L. Nutritional and life-quality consequences of aboral pouch construction after total gastrectomy: A randomized, controlled study. European Journal of Surgical Oncology. 2001;27:558–563. https://doi.org/10.1053/ejso.2001.1172Horvath OP, Kalmar K, Cseke L. Nutritional and life-quality consequences of aboral pouch construction after total gastrectomy: A randomized, controlled study. European Journal of Surgical Oncology. 2001;27:558–563. https://doi.org/10.1053/ejso.2001.1172Zong L, Chen P, Chen Y, Shi G. Pouch Roux-en-Y vs No Pouch Roux-en-Y following total gastrectomy: a meta-analysis based on 12 studies. J Biomed Res. 2011;25(2):90–99. https://doi.org/10.1016/s1674–8301(11)60011–0Zong L, Chen P, Chen Y, Shi G. Pouch Roux-en-Y vs No Pouch Roux-en-Y following total gastrectomy: a meta-analysis based on 12 studies. J Biomed Res. 2011;25(2):90–99. https://doi.org/10.1016/s1674–8301(11)60011–0Schmitz R, Moser KH, Treckmann J. Quality of life after prograde jejunum interposition with and without pouch. A prospective study of stomach cancer patients on the reservoir as a reconstruction principle after total gastrectomy. Chirurg 1994;65:326Schmitz R, Moser KH, Treckmann J. Quality of life after prograde jejunum interposition with and without pouch. A prospective study of stomach cancer patients on the reservoir as a reconstruction principle after total gastrectomy. Chirurg 1994;65:326Ishigami S., Aridome K., Nakajo A., et al. Roux-en-Y reconstruction with stapled distal jejunal pouch after total gastrectomy. Am Surg. 2010;76:526–8. https://doi.org/10.1177/000313481007600523Ishigami S., Aridome K., Nakajo A., et al. Roux-en-Y reconstruction with stapled distal jejunal pouch after total gastrectomy. Am Surg. 2010;76:526–8. https://doi.org/10.1177/000313481007600523Fujiwara Y, Kusunoki M, Nakagawa K, Tanaka T, Hatada T, Yamamura T. Evaluation of J-pouch reconstruction after total gastrectomy: ρ-double tract vs. J-pouch double tract. Digestive Surgery. 2000;17:475–482. https://doi.org/10.1159/000051943Fujiwara Y, Kusunoki M, Nakagawa K, Tanaka T, Hatada T, Yamamura T. Evaluation of J-pouch reconstruction after total gastrectomy: ρ-double tract vs. J-pouch double tract. Digestive Surgery. 2000;17:475–482. https://doi.org/10.1159/000051943Bozzetti F, Bonfanti G, Castellani R, et al. Comparing reconstruction with Roux-en-Y to a pouch following total gastrectomy. Journal of the American College of Surgeons 1996;183:243–8Bozzetti F, Bonfanti G, Castellani R, et al. Comparing reconstruction with Roux-en-Y to a pouch following total gastrectomy. Journal of the American College of Surgeons 1996;183:243–8Svedlund J, Sullivan M, Liedman B, Lundell L, Sjodin I. Quality of life after gastrectomy for gastric carcinoma: controlled study of reconstructive procedures. World Journal of Surgery 1997;21:422–33Svedlund J, Sullivan M, Liedman B, Lundell L, Sjodin I. Quality of life after gastrectomy for gastric carcinoma: controlled study of reconstructive procedures. World Journal of Surgery 1997;21:422–33Takeshita K, Sekita Y, Tani M. Medium- and long-term results of jejunal pouch reconstruction after a total and proximal gastrectomy. Surg Today 2007;37:754–61. https://doi.org/10.1007/s00595–007–3497–5Takeshita K, Sekita Y, Tani M. Medium- and long-term results of jejunal pouch reconstruction after a total and proximal gastrectomy. Surg Today 2007;37:754–61. https://doi.org/10.1007/s00595–007–3497–5Noh SM. Improvement of the Roux limb function using a new type of ‘uncut Roux’ limb. Am J Surg 2000;180:37– 40. https://doi.org/10.1016/s0002–9610(00)00421–9Noh SM. Improvement of the Roux limb function using a new type of ‘uncut Roux’ limb. Am J Surg 2000;180:37– 40. https://doi.org/10.1016/s0002–9610(00)00421–9Jangjoo A, Mehrabi Bahar M, Aliakbarian M. Uncut Roux-en-Y esophagojejunostomy: a new reconstruction technique after total gastrectomy. Indian J Surg 2010;72:236–9. https://doi.org/10.1007/s12262–010–0059–7Jangjoo A, Mehrabi Bahar M, Aliakbarian M. Uncut Roux-en-Y esophagojejunostomy: a new reconstruction technique after total gastrectomy. Indian J Surg 2010;72:236–9. https://doi.org/10.1007/s12262–010–0059–7Zhou Y, Wang F, Ji Y, Lv J. A CARE-compliant article: a case of retrograde intussusception with Uncut-Rouxen-Y anastomosis after radical total gastrectomy: Review of the literature. Medicine (Baltimore). 2017;96(48): e8982. https://doi.org/10.1097/md.0000000000008982Zhou Y, Wang F, Ji Y, Lv J. A CARE-compliant article: a case of retrograde intussusception with Uncut-Rouxen-Y anastomosis after radical total gastrectomy: Review of the literature. Medicine (Baltimore). 2017;96(48): e8982. https://doi.org/10.1097/md.0000000000008982Kajitani K, Sato J. Evaluation of the procedures of total gastrectomy and proximal gastrectomy. Japan Surgical Society. 1965;66:1285–1287Kajitani K, Sato J. Evaluation of the procedures of total gastrectomy and proximal gastrectomy. Japan Surgical Society. 1965;66:1285–1287Iwahashi M, Nakamori M, Nakamura M. Evaluation of double tract reconstruction after total gastrectomy in patients with gastric cancer: Prospective randomized controlled trial. World Journal of Surgery. 20093; 3:1882– 1888. https://doi.org/10.1007/s00268–009–0109–0Iwahashi M, Nakamori M, Nakamura M. Evaluation of double tract reconstruction after total gastrectomy in patients with gastric cancer: Prospective randomized controlled trial. World Journal of Surgery. 20093; 3:1882– 1888. https://doi.org/10.1007/s00268–009–0109–0Bandurski R, Gryko M, Kamocki Z. Double tract reconstruction (DTR) – An alternative type of digestive tract reconstructive procedure after total gastrectomy – own experience. Polski Przeglad Chirurgiczny. 2011;83:70–75. https://doi.org/10.2478/v10035–011–0011-yBandurski R, Gryko M, Kamocki Z. Double tract reconstruction (DTR) – An alternative type of digestive tract reconstructive procedure after total gastrectomy – own experience. Polski Przeglad Chirurgiczny. 2011;83:70–75. https://doi.org/10.2478/v10035–011–0011-yMaksimovic S. Double tract reconstruction after total gastrectomy in patients with gastric cancer: our experience. Med Arh. 2010;64(2):116–118.Maksimovic S. Double tract reconstruction after total gastrectomy in patients with gastric cancer: our experience. Med Arh. 2010;64(2):116–118.Li, S., Gu, L., Shen, Z. et al. A meta-analysis of comparison of proximal gastrectomy with double-tract reconstruction and total gastrectomy for proximal early gastric cancer. BMC Surg 19, 117 (2019). https://doi.org/10.1186/s12893–019–0584–7Li, S., Gu, L., Shen, Z. et al. A meta-analysis of comparison of proximal gastrectomy with double-tract reconstruction and total gastrectomy for proximal early gastric cancer. BMC Surg 19, 117 (2019). https://doi.org/10.1186/s12893–019–0584–7Seo S. Stomach resection transplanting jejunum. Japan Surgical Society. 1941;42:1004Seo S. Stomach resection transplanting jejunum. Japan Surgical Society. 1941;42:1004Longmire WP, Beal JM. Construction of a substitute gastric reservoir following total gastrectomy. Annals of Surgery. 1952;135:637–645. https://doi.org/10.1097/00000658–195205000–00007Longmire WP, Beal JM. Construction of a substitute gastric reservoir following total gastrectomy. Annals of Surgery. 1952;135:637–645. https://doi.org/10.1097/00000658–195205000–00007Lee CMJ. Transposition of a colon segment as a gastric reservoir after total gastrectomy. Surgery, Gynecology & Obstetrics. 19519;2:456–465Lee CMJ. Transposition of a colon segment as a gastric reservoir after total gastrectomy. Surgery, Gynecology & Obstetrics. 19519;2:456–465Hunnicutt AJ. Replacing stomach after total gastrectomy with right ileocolon. A.M.A. Archives of Surgery. 1952;65:1–11. https://doi.org/10.1001/archsurg.1952.01260020013001Hunnicutt AJ. Replacing stomach after total gastrectomy with right ileocolon. A.M.A. Archives of Surgery. 1952;65:1–11. https://doi.org/10.1001/archsurg.1952.01260020013001Андросов П. И. Замещение желудка участком толстой кишки при тотальной гастрэктомии. Хирургия, 1959, 11, 144–145.Androsov PI. Substitution of the stomach with a section of the colon with total gastrectomy. Khirurgiya, 1959, 11, 144–145. (In Russ.)Hays RP. Anatomic and physiologic reconstruction following total gastrectomy by the use of a jejunal food pouch. Surgical Forum. 1953;4:291–296.Hays RP. Anatomic and physiologic reconstruction following total gastrectomy by the use of a jejunal food pouch. Surgical Forum. 1953;4:291–296.Gütgemann A, Schreiber HW, Bernhard A. Erfahrungen mit der totalen Gastrektomie. Langenbecks Arch Klin Chir Ver Dtsch Z Chir. 1963;303:73–93. https://doi.org/10.1007/bf01440407Gütgemann A, Schreiber HW, Bernhard A. Erfahrungen mit der totalen Gastrektomie. Langenbecks Arch Klin Chir Ver Dtsch Z Chir. 1963;303:73–93. https://doi.org/10.1007/bf01440407Poth EJ, Smith LB. Gastric pouches: Their evaluation. American Journal of Surgery. 1966; 112:721–727. https://doi.org/10.1016/0002–9610(66)90112–7Poth EJ, Smith LB. Gastric pouches: Their evaluation. American Journal of Surgery. 1966; 112:721–727. https://doi.org/10.1016/0002–9610(66)90112–7Kieninger G, Koslowski L, Kummer D. Stomach replacement by iso-anisoperistaltic jejunum interposition (Tübinger replacement stomach). Chirurg. 1981;52:505– 510Kieninger G, Koslowski L, Kummer D. Stomach replacement by iso-anisoperistaltic jejunum interposition (Tübinger replacement stomach). Chirurg. 1981;52:505– 510Herbington JL. Remedial operations for severe postgastrectomy symptoms (dumping): Emphasis on an antiperistaltic (reversed) jejunal segment interpolated between gastric remnant and duodenum and role of vagotomy. Annals of Surgery. 1965;162:789–862. https://doi.org/10.1097/00000658–196511000–00001Herbington JL. Remedial operations for severe postgastrectomy symptoms (dumping): Emphasis on an antiperistaltic (reversed) jejunal segment interpolated between gastric remnant and duodenum and role of vagotomy. Annals of Surgery. 1965;162:789–862. https://doi.org/10.1097/00000658–196511000–00001Cuschieri A. Long term evaluation of a reservoir jejunal interposition with an isoperistaltic conduit in the management of patients with the small stomach syndrome. Th e British Journal of Surgery. 19826;9:386–388. https://doi.org/10.1002/bjs.1800690710Cuschieri A. Long term evaluation of a reservoir jejunal interposition with an isoperistaltic conduit in the management of patients with the small stomach syndrome. Th e British Journal of Surgery. 19826;9:386–388. https://doi.org/10.1002/bjs.1800690710Schwarz A, Büchler M, Usinger K. Importance of the duodenal passage and pouch volume after total gastrectomy and reconstruction with the Ulm pouch: Prospective randomized clinical study. World Journal of Surgery. 1996;20:60–66; discussion 66–67. https://doi.org/10.1007/s002689900011Schwarz A, Büchler M, Usinger K. Importance of the duodenal passage and pouch volume after total gastrectomy and reconstruction with the Ulm pouch: Prospective randomized clinical study. World Journal of Surgery. 1996;20:60–66; discussion 66–67. https://doi.org/10.1007/s002689900011Longmire WP, Beal JM. Construction of a substitute gastric reservoir following total gastrectomy. Annals of Surgery. 1952;135:637–645. https://doi.org/10.1097/00000658–195205000–00007Longmire WP, Beal JM. Construction of a substitute gastric reservoir following total gastrectomy. Annals of Surgery. 1952;135:637–645. https://doi.org/10.1097/00000658–195205000–00007Baumgartl F, Kremer K, Schreiber HW. Spezielle Chirurgie für die Praxis. Stuttgart: Georg Th ieme Verlag; 1973. 738 p. https://doi.org/10.1002/bjs.1800610431Baumgartl F, Kremer K, Schreiber HW. Spezielle Chirurgie für die Praxis. Stuttgart: Georg Th ieme Verlag; 1973. 738 p. https://doi.org/10.1002/bjs.1800610431Е.И. Захаров, А. Е. Захаров. Тонкокишечная пластика при гастрэктомии и резекции желудка Государственное издательство медицинской литературы, Москва, 1962, 166 с.Zakharov EI., Zakharov AE. Intestinal plastic for gastrectomy and resection of the stomach State Publishing House of Medical Literature, Moscow, 1962, 166 p. (In Russ.).Zherlov G, Koshel A, Orlova Y. New type of jejunal interposition method aft er gastrectomy. World Journal of Surgery. 2006;30:1475–1480. https://doi.org/10.1007/s00268–005–7980–0Zherlov G, Koshel A, Orlova Y. New type of jejunal interposition method aft er gastrectomy. World Journal of Surgery. 2006;30:1475–1480. https://doi.org/10.1007/s00268–005–7980–0А. Л. Лужанский, О. И. Дударь. Принципы формирования аналога желудка из петли тонкой кишки после гастрэктомии Российский журнал биомеханики, 2006, том 10, № 1: 79–87.A. L. Luzhansky, O. I. Dudar Principles of the formation of an analog of the stomach from a loop of the small intestine aft er gastrectomy Russian Journal of Biomechanics, 2006, Volume 10 (In Russ.).Е.И. Брехов, С. П. Мизин, И. Г. Репин, А. А. Шипова. Обоснование способа восстановления непрерывности желудочно-кишечного тракта после резекции желудка Хирургия. Журнал им. Н. И. Пирогова. 2013;(6): 8–13.E. I. Brekhov, S. P. Mizin, I. G. Repin, A. A. Shipova Justification of the method for reconstruction the continuity of the gastrointestinal tract after resection of the stomach Surgery. Khirurgiya. Zhurnal imeni N. I. Pirogova. 2013; (6): 8–13 (In Russ.).Д. В. Ручкин, Ц. Ян. Еюногастропластика как альтернативный способ реконструкции пищеварительного тракта после гастрэктомии Хирургия. Журнал им. Н. И. Пирогова. 2015;(9):57–62.D. V. Ruchkin, C. Jan Jejunogastroplasty as an alternative method of digestive tract reconstruction after gastrectomy Khirurgiya. Zhurnal imeni N. I. Pirogova. 2015; (9): 57–62 (In Russ.).Yang YS, Chen LQ, Yan XX, Liu YL. Preservation versus non-preservation of the duodenal passage following total gastrectomy: a systematic review. J Gastrointest Surg. 2013;17(5):877‐886. https://doi.org/10.1007/s11605–013–2174–9Yang YS, Chen LQ, Yan XX, Liu YL. Preservation versus non-preservation of the duodenal passage following total gastrectomy: a systematic review. J Gastrointest Surg. 2013;17(5):877‐886. https://doi.org/10.1007/s11605–013–2174–9Fan KX, Xu ZF, Wang MR, Li DT, Yang XS, Guo J. Outcomes for jejunal interposition reconstruction compared with Roux-en-Y anastomosis: A meta-analysis. World J Gastroenterol. 2015;21(10):3093–3099. https://doi.org/10.3748/wjg.v21.i10.3093Fan KX, Xu ZF, Wang MR, Li DT, Yang XS, Guo J. Outcomes for jejunal interposition reconstruction compared with Roux-en-Y anastomosis: A meta-analysis. World J Gastroenterol. 2015;21(10):3093–3099. https://doi.org/10.3748/wjg.v21.i10.3093Ding X, Yan F, Liang H, et al. Functional jejunal interposition, a reconstruction procedure, promotes functional outcomes after total gastrectomy. BMC Surg. 2015;15:43. Published 2015 Apr 15. https://doi.org/10.1186/s12893–015–0032–2Ding X, Yan F, Liang H, et al. Functional jejunal interposition, a reconstruction procedure, promotes functional outcomes after total gastrectomy. BMC Surg. 2015;15:43. Published 2015 Apr 15. https://doi.org/10.1186/s12893–015–0032–2Dikic S, Randjelovic T, Dragojevic S, et al. Early dumping syndrome and reflux esophagitis prevention with pouch reconstruction. J Surg Res. 2012;175(1):56‐61. https://doi.org/10.1016/j.jss.2011.02.001Dikic S, Randjelovic T, Dragojevic S, et al. Early dumping syndrome and reflux esophagitis prevention with pouch reconstruction. J Surg Res. 2012;175(1):56‐61. https://doi.org/10.1016/j.jss.2011.02.001Zonča P, Malý T, Ihnát P, Peteja M, Kraft O, Kuca K. J-pouch versus Roux-en-Y reconstruction after gastrectomy: functional assessment and quality of life (randomized trial). Onco Targets Th er. 2016;10:13–19. Published 2016 Dec 16. https://doi.org/10.2147/ott.s99628Zonča P, Malý T, Ihnát P, Peteja M, Kraft O, Kuca K. J-pouch versus Roux-en-Y reconstruction after gastrectomy: functional assessment and quality of life (randomized trial). Onco Targets Th er. 2016;10:13–19. Published 2016 Dec 16. https://doi.org/10.2147/ott.s99628Japanese gastric cancer treatment guidelines 2018 (5th edition). Gastric Cancer (2020). https://doi.org/10.1007/s10120–020–01042-yJapanese gastric cancer treatment guidelines 2018 (5th edition). Gastric Cancer (2020). https://doi.org/10.1007/s10120–020–01042-yChen S, Chen XJ, Chen DW, Xiang J, Peng JS. A novel anti-refl ux reconstruction aft er laparoscopic total gastrectomy: jejunal pouch-esophageal anti-refl ux anastomosis. Gastroenterol Rep (Oxf). 2018;6(3):234–238. https://doi.org/10.1093/gastro/goy019Chen S, Chen XJ, Chen DW, Xiang J, Peng JS. A novel anti-refl ux reconstruction aft er laparoscopic total gastrectomy: jejunal pouch-esophageal anti-refl ux anastomosis. Gastroenterol Rep (Oxf). 2018;6(3):234–238. https://doi.org/10.1093/gastro/goy019Ward MA, Ujiki MB. Creation of a jejunal pouch during laparoscopic total gastrectomy and Roux-en-Y esophagojejunostomy. Ann Surg Oncol. 2017;24:184–6. https://doi.org/10.1245/s10434–016–5540–5Ward MA, Ujiki MB. Creation of a jejunal pouch during laparoscopic total gastrectomy and Roux-en-Y esophagojejunostomy. Ann Surg Oncol. 2017;24:184–6. https://doi.org/10.1245/s10434–016–5540–5Р. А. Зубков, А. В. Шелехов, Е. С. Барышников, А. С. Загайнов. Лапароскопическая гастрэктомия с еюногастропластикой. Сибирский онкологический журнал. 2016. Т. 15, № 4. С. 70–74 DOI: 10.21294/1814–4861–2016–15–4–70–74.R. A. Zubkov, A. V. Shelekhov, E. S. Baryshnikov, A. S. Zagainov Laparoscopic gastrectomy with jejunogastroplasty. Siberian Oncology Journal. 2016. Vol. 15, No. 4, pp. 70–74 DOI: 10.21294/1814–4861–2016–15–4–70–74 (In Russ.).

The authors declare that there are no conflicts of interest present.