The aim is to present gastrectomy/D2 lymphadenectomy technique with stomach substitution with "J-pouch". The description of gastrectomy/D2 lymphadenectomy with the following reconstruction of upper GI part comes from a standardized technique as well as from the experiences of the authors. The technique of "J-pouch" with the anti-reflux cuff is a reconstruction modification created by the authors. "J-pouch" is created in the aboral half of interponate jejunal loop with the following reconstruction with esophagojejunostomy end-to-side and antireflux cuff creation. On the distal end is the jejuno-duodenostomie side-to-end created. The reconstruction with "J-pouch" after gastrectomy is an advantageous technique. It creates the needed reservoir and retains the physiological orientation through duodenum. These two factors lead to the improvement of life quality for patients after gastrectomy. This technique is safe and standard to perform according to the authors' experience.

1 Chirurgická klinika LF UP a FN Olomouc