J-pouch versus Roux-en-Y reconstruction after gastrectomy: functional assessment and quality of life (randomized trial)

Figures & data

Figure 1 Scheme of postgastrectomy reconstructions.

Notes: (A) Roux-en-Y reconstruction and (B) “J-pouch” reconstruction.

Figure 2 The CONSORT diagram showing flow through the trial.

Table 1 Age, gender, and cancer stage of all patients included into the trial

	“J-pouch”			Roux-en-Y
	Age (years)	Gender	Stage (UICC)	Age (years)	Gender	Stage (UICC)
1.	61	F	I A	65	M	II B
2.	60	M	III B	77	M	I B
3.	45	F	III B	80	M	II B
4.	64	F	Lymphoma IV A	65	M	Lymphoma IV A
5.	69	F	III A	70	M	III C
6.	74	F	II A	56	M	III C
7.	57	M	III A	45	F	I B
8.	45	M	Lymphoma IV A	75	M	II B
9.	42	M	I B	43	M	I B
10.	59	M	III A	76	M	II A
11.	64	F	II A	65	M	III A
12.	57	M	III A	74	M	III B
13.	67	F	II B	51	M	III C
14.	45	M	II A	55	M	II B
15.	73	M	III C	51	F	II A
16.	63	M	III A	73	M	III A
17.	59	M	Lymphoma IV A	60	M	III A
18.	68	M	I A	68	M	I B
19.	45	M	III A	48	M	III B
20.	66	F	III A	78	F	III B
21.	73	F	III A	67	M	III A
22.	62	M	III B	71	F	III A
23.	74	M	III A	65	M	II B
24.	67	M	III B	53	F	III B
25.	58	F	II B	49	M	III A
26.	81	M	I B	68	M	III A
27.	68	F	III B	58	M	II A
28.	51	M	III A	72	M	III B
29.	61	F	II A	55	F	I B
30.	73	M	III B	68	M	III A
31.	69	M	III A	61	F	III A
32.	58	M	Lymphoma IV A	74	F	II B
33.	63	M	I B	68	M	I B
34.	58	F	III A	54	M	II A
35.	54	F	III B	63	F	III B
36.	72	M	II B
37.	76	M	III A
Total, n ± SD or ratio
	62, 2	23:14		63, 5	26:9

Abbreviation: UICC, Union for International Cancer Control.

Table 2 Selected symptoms occurrence after gastrectomy

	“J-pouch”	Roux-en-Y
Heartburn	5	1
Dumping syndrome	1	6
Fullness feeling after meal	5	9

Figure 3 Normal probability plot comparing the distribution of data from evacuation of “J-pouch” and Roux-en-Y reconstruction with normal distribution.

Table 3 QoL and length of evacuation after gastrectomy within both study groups

Group of patients	Length of evacuation (min)	QoL
“J-pouch”
N	36	37
Minimum	15	62
Maximum	184	134
Median	89.50	103.00
Mean	89.36	102.51
SD	37.782	16.588
Roux-en-Y
N	31	35
Minimum	3	57
Maximum	43	117
Median	16.00	94.00
Mean	16.45	92.57
SD	9.963	14.337

Note: QoL assessed according to Eypasch questionnaire.

Abbreviations: QoL, quality of life; SD, standard deviation.

Figure 4 Examples of postgastrectomy reconstruction emptying curves (corrected for physical radioisotopic decay) obtained by dynamic scintigraphy after ingestion of semisolid test meal labeled with ^99mTc-sulfur colloid.

Notes: Red curve – radioactivity detected in reconstructed segment; blue curve – radioactivity detected in small intestine beyond reconstruction. (A) Roux-en-Y reconstruction and (B) “J-pouch” reconstruction.