Document Detail


Improved quality of life in patients with adenocarcinoma of esophagogastric junction after gastric tube reconstruction.
MedLine Citation:
PMID:  24719938     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
BACKGROUND/AIMS: This study aims to compare postoperative quality of life (QOL) in adenocarcinoma of esophagogastric junction (AEG) patients who underwent different reconstructions after proximal gastrectomy.
METHODOLOGY: A total of 158 consecutive AEG patients (Siewert type II/III) between January 2009 and February 2012 were included in this study. Eighty-seven patients underwent gastric tube reconstruction (anastomosis between tubular stomach and esophagus), and 71 patients had traditional direct anastomosis (anastomosis between gastric remnant and esophagus) after proximal gastrectomy. Quality of life was evaluated using the Chinese versions of the European Organization for Research and Treatment of Cancer Quality of life Questionnaire (EORTC QLQ) Core-30 and EORTC QLQ-STO22 at pre-operation as well as one and two years post-operation.
RESULTS: Patients with gastric tube reconstruction had better quality of life than the traditional group patients with respect to global health status, emotional function, cognitive function, nausea and vomiting, reflux, and anxiety scales at one year post-surgery. At 2 years after surgery, reflux as well as nausea and vomiting remained higher in the traditional group than in the gastric group. In addition, the traditional group exhibited a higher score for body image scale than the gastric tube group.
CONCLUSIONS: AEG patients with gastric tube anastomosis had better a QOL than traditional direct anastomosis patients during the two year follow-up.
Authors:
Chaoyong Shen; Hongxin Yang; Bo Zhang; Haining Chen; Zhixin Chen; Jiaping Chen
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Hepato-gastroenterology     Volume:  60     ISSN:  0172-6390     ISO Abbreviation:  Hepatogastroenterology     Publication Date:    2013 Nov-Dec
Date Detail:
Created Date:  2014-04-10     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8007849     Medline TA:  Hepatogastroenterology     Country:  Greece    
Other Details:
Languages:  eng     Pagination:  1985-9     Citation Subset:  IM    
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