THE MODIFIED ROSANOV TECHNIQUE IN THE RECONSTRUCTION OF DIGESTIVE TRACT AFTER TOTAL GASTRECTOMY

Background - Total gastrectomy in gastric cancer is a procedure not without early and late complications and type of reconstruction of the digestive tract to be used is still a controversial issue in literature. Aim - To describe a modified Rosanov technique after total gastrectomy, employed with the aim of minimizing the intestinal malabsorption and other complications following this procedure. Method - Technical modification is not to hold distal ligature on jejuno-duodenal anastomosis, thereby offering to the food transit two routes by the duodenum and by the jejunum. Results - There were no complications and the initial series showed a benefit in the nutritional aspects after six months of postoperative follow-up. Conclusion - It is a simple technique and preliminary results with its use were very satisfactory, although other clinical studies must be conducted to demonstrate the advantages of the technique in the long term.