Early benefits of stomach reconstruction from small intestine after surgical removal of stomach in those who have stomach cancer.
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Intervention1: Hunt Lawrence Jejunal pouch after total gastrectomy, esophagojejunostomy and Roux en Y: To analyze benefits of Jejunal pouch after total gastrectomy Control Intervention1: Total gastrectomy, esophagojejunostomy and Roux en Y without jejunal pouch: To compare outcomes in both groups Primary outcome(s): Safety Morbidity associated with surgery Efficacy To incidence of dumping Timepoint: Safety Morbidity associated with surgery prolonged intensive care, complications associated with surgery i.e. respiratory infections, anastomotic leak, bleed etc Efficacy To incidence of dumping i.Early dumping: Patients who complain of crampy abdominal pain, bloating, diarrhea, giddiness within 30-60min post prandialy. ii.Late dumping: Patients who complain of giddiness, sweating within 1-3 hours post prandialy.



