Present status and problems of application of jejunal pouch in digestive tract reconstruction        LIANG Han. Department of Gastrointestinal Oncological Surgery, Tianjin Medical University Cancer Institute and Hospital, Tianjin Key Laboratory of Cancer Prevention and Therapy, Tianjin 300060, China
Abstract    Various digestive tract reconstruction methods are used after total gastrectomy. But there is no optimal one. Jejunal pouch is the most common reconstruction technique. According to preserving duodenal passage, there are two types of reconstruction such as Roux-en-Y with jejunal pouch and pouch with preserved duodenal passage. Most studies show that additional pouch formation can delay employing time, decrease the incidence of dumping syndrome and water brash and increase food intake postoperatively. No matter preserving duodenal passage or not, quality of life is improved significantly in patients with a pouch compared with patients without a pouch. The multicenter, randomized clinical trials are needed to provide the further evidence.