Bacterial overgrowth, intestinal transit, and nutrition after total gastrectomy: Comparison of a jejunal pouch with Roux-en-Y reconstruction in a prospective random study

Scandinavian Journal of Gastroenterology

Volumn 33, Issue 1, 1998, Pages 63-70

  Iivonen, M K ^a,b   Ahola, T O ^a   Matikainen, M J ^a  

^a TAMPERE UNIVERSITY HOSPITAL   (Finland)

^b KANTA HÄME CENTRAL HOSPITAL   (Finland)

Author keywords

Bacterial overgrowth; Gastric carcinoma; Intestinal transit; Nutrition; Postprandial symptoms; Pouch reconstruction; Total gastrectomy

Indexed keywords

ALKALINE PHOSPHATASE; GLUCOSE; LACTULOSE; SERUM ALBUMIN;

ADULT; AGED; ARTICLE; BACTERIAL OVERGROWTH; BREATH ANALYSIS; CLINICAL ARTICLE; CLINICAL TRIAL; CONTROLLED STUDY; FEMALE; HUMAN; ILEUM POUCH; INTESTINE TRANSIT TIME; JEJUNOSTOMY; MALE; MALNUTRITION; NUTRITION; POSTGASTRECTOMY SYNDROME; POSTOPERATIVE COMPLICATION; PRIORITY JOURNAL; RANDOMIZED CONTROLLED TRIAL; ROUX Y ANASTOMOSIS; TOTAL STOMACH RESECTION; WEIGHT REDUCTION;

ADULT; AGED; ANASTOMOSIS, ROUX-EN-Y; BREATH TESTS; FEMALE; GASTRECTOMY; GASTROINTESTINAL TRANSIT; HUMANS; INTESTINES; MALE; MIDDLE AGED; NUTRITION DISORDERS; PROCTOCOLECTOMY, RESTORATIVE; PROSPECTIVE STUDIES; STOMACH NEOPLASMS;

EID: 0031893853     PISSN: 00365521     EISSN: None     Source Type: Journal    
DOI: 10.1080/00365529850166220     Document Type: Article

References (31)

1. Olbe L, Lundell L. Intestinal function after total gastrectomy and possible consequences of gastric replacement. World J Surg 1987;11:713-9.
2. Curran FT, Hill GL. Failure of nutritional recovery after total gastrectomy. Br J Surg 1990;77:1015-7.
3. Armbrecht U, Lundell L, Lindstedt G, Stockbruegger RW. Causes of mal absorption after total gastrectomy with Roux-en-Y reconstruction. Acta Chir Scand 1988;154:37-41.
4. Miholic J, Meyer HJ, Müller MJ, Weimann A, Pihlmayr R. Nutritional consequences of total gastrectomy: the relationship between mode of reconstruction, postprandial symptoms, and body composition. Surgery 1990;108:488-94.
5. Haboudi N, Montgomery R. Small-bowel bacterial overgrowth in elderly people: clinical significance and response to treatment. Age Ageing 1992;21:13-9.
6. Salzman JR, Kowdley KV, Pedrosa MC, Sepe T, Golner B, Perrone G, et al. Bacterial overgrowth without clinical malabsorption in elderly hypochlorhydric subjects. Gastroenterology 1994;106:615-23.
7. Bradley EL, Isaacs J, Hersh T, Davidson ED, Millikan W. Nutritional consequences of total gastrectomy. Ann Surg 1975; 182:415-27.
8. Sategna-Guidetti C, Bianco L. Malnutrition and malabsorption after total gastrectomy. A pathophysiologic approach. J Clin Gastroenterol 1989;11:519-24.
9. Pellegrini CA, Deveney CW, Patti MG, Lewin M, Way LW. Intestinal transit of food after total gastrectomy and Roux-en-Y esophagojejunostomy. Am J Surg 1986;151:117-25.
10. 2) breath test and gastric bacteria in acid-secreting subjects and in achlorhydric and postgastrectomy patients before and after antimicrobial treatment. Scand J Gastroenterol 1985;20:805-13.
11. Nakane Y, Okumura S, Akehira K, Okamura S, Boku T, Osuka T. Jejunal pouch reconstruction after total gastrectomy for cancer. Ann Surg 1995;222:27-35.
12. Iivonen M, Matikainen M, Nordback I. Jejunal pouch reconstruction diminishes postoperative symptoms after total gastrectomy. A prospective random study. Dig Surg 1997;14:260-6.
13. Heimbucher J, Fuchs K, Freys S, Clark GWB, Incarbone R, De Meester TR, et al. Motility in the Hunt-Lawrence pouch after total gastrectomy. Am J Surg 1994;168:622-6.
14. Miholic J, Meyer H-J, Kotzerke J, Balks J, Aebert H, Jähne J, et al. Emptying of the gastric substitute after total gastrectomy. Ann Surg 1989;210:165-72.
15. Ladas SD, Latoufis C, Giannopoulou H. Reproducible lactulose hydrogen breath test as a measure of mouth-to-cecum transit time. Dig Dis Sci 1989;34:919-24.
16. Kerlin P, Wong L. Breath hydrogen testing in bacterial overgrowth of the small intestine. Gastroenterology 1988;95:982-8.
17. Caride VJ, Prokop EK, Troncale FJ, Buddoura W, Winchanbach K, McCallum RW. Scintigraphic determination of small intestinal transit time: comparison with the hydrogen breath technique. Gastroenterology 1984;86:714-20.
18. Cloarec D, Bornet F, Gouilloud S, Barry JL, Salim B, Galmiche JP. Breath hydrogen response to lactulose in healthy subjects: relationship to methane producing status. Gut 1990;31:300-4.
19. Braga M, Zuliani W, Foppa L, Di Carlo V, Cristallo M. Food intake and nutritional status after total gastrectomy: results of a nutritional follow-up. Br J Surg 1988;75:477-80.
20. Fuchs K-H, Thiede A, Engeman R, Deltz E, Stremme O, Hamelmann H. Reconstruction of the food passage after total gastrectomy: randomized trial. World J Surg 1995;19:698-706.
21. Malagelada JR, Robertson JS, Brown ML, Remington M, Ivenes JA. Intestinal transit of solid and liquid components of a meal in health. Gastroenterology 1984;87:1255-63.
22. Donaldson RM Jr. Normal bacterial populations of the intestine and their relation to intestinal function. N Engl J Ned 1964; 270:938-45.
23. Gorbach SL, Tabaqchali S. Bacteria, bile and the small bowel. Gut 1969;10:963-72.
24. McAleese P, Calvert H, Ferguson WR, Laird J. Evaluation of 'gastric' emptying time in the J pouch compared with a standard esophagojejunal anastomosis. World J Surg 1993;17:595-600.
25. Sonntag A, Schlag P, Herfarth CH. Sequential scintigraphy after total gastrectomy and gastric replacement. Scand J Gastroenterol 1981;16 Suppl 67:183-5.
26. Walther B, Clementsson C, Vallgren S, Ihse I. Fat malabsorption in patients before and after total gastrectomy, studied by the triolein breath test. Scand J Gastroenterol 1989;24:309-14.
27. Santavirta J, Mattila J, Kokki M, Matikainen M. Mucosal morphology and faecal bacteriology after ileoanal anastomosis. Int J Colored Dis 1991;6:38-41.
28. 14C] xylose breath tests in patients with ileoanal anastomosis. Int J Colored Dis 1991;6: 208-11.
29. 75Selabelled homocholic-tauro acid, and scanning electron microscopy. Scand J Gastroenterol 1990;25:841-52.
30. Stotzer P-O, Blomberg L, Conway PL, Henriksson A, Abrahamsson H. Probiotic treatment of small intestinal bacterial overgrowth by lactobacillus fermentum KLD. Scand J Infect Dis 1996;28:615-9.
31. Longmire WP. A current view of gastric cancer in the US [editorial]. Ann Surg 1993;218:579-82.