VA01.2. Functional Reconstruction After Total Gastrectomy: The Divided Jejunal Pouch Technique (Neo Stomach Reservoir) for Indian Bulk Eaters

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ID: 325932
2026
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Ranked #448 of 453 articles by views in diseases of the esophagus : official journal of the international society for diseases of the esophagus

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Abstract
Abstract Topic Esophageal Cancer: Other Video Description What the Video Shows This video demonstrates total gastrectomy with divided jejunal pouch reconstruction as an alternative to standard Roux-en-Y esophagojejunostomy. The video highlights pouch creation, division technique, orientation, length optimization, and esophago-jejunal anastomosis, with emphasis on achieving a low-pressure reservoir and controlled transit. Why This Video Is Important Standard Roux-en-Y reconstruction after total gastrectomy may result in early satiety, dumping, and poor nutritional tolerance, particularly in young patients and high-intake populations, such as Indian patients accustomed to bulk meals. This video demonstrates a function-preserving reconstructive option that improves reservoir capacity and food tolerance while maintaining oncologic principles. The divided jejunal pouch technique is infrequently demonstrated in surgical videos and provides valuable technical insights into improving post-gastrectomy quality of life.
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Authors Ramakrishnan Parthasarathi, Chinnusamy Palanivelu, M Bharath Cumar, S Saravana Kumar, N Ramesh, Jami Yaswanth Sai
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Journal diseases of the esophagus : official journal of the international society for diseases of the esophagus
Year 2026
DOI
10.1093/dote/doag077.431
URL
https://doi.org/10.1093/dote/doag077.431
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