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

Abstract

Esophageal Cancer: Other Video Description 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. 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.