Document Detail

Length of the antral segment in pylorus-preserving gastrectomy.
MedLine Citation:
PMID:  11856138     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Pylorus-preserving gastrectomy (PPG) has the advantages of preventing dumping syndrome and duodenogastric reflux. However, time was required to reduce symptoms of gastric fullness or to improve food intake after surgery. The aim of this study was to investigate whether the length of the retained antral segment influenced the postoperative symptoms in patients who underwent PPG. METHODS: Thirty patients with early gastric cancer who underwent PPG were divided into two groups according to the length of the retained antrum. In group 1 (n = 20) the transection was 1.5 cm and in group 2 (n = 10) it was 2.5 cm proximal to the oral edge of the pyloric ring. The subjects were interviewed and examined periodically to assess symptoms, food intake, body-weight and serum nutritional variables. Endoscopy and a radioisotope gastric emptying test were performed 1 year after the operation. RESULTS: In group 1 gastric fullness after meals was common, resulting in poor food intake and poor recovery of body-weight. A high incidence of food residue in the remnant stomach was found in group 1. With regard to gastric emptying, seven of 20 patients in group 1 and one of ten in group 2 had a delayed emptying curve 1 year after operation. CONCLUSION: Group 2 was superior to group 1 in terms of postprandial symptoms, food intake, recovery of body-weight and gastric emptying. The length of the retained antrum may play an important role in the motility of the pyloric ring following PPG.
Y Nakane; T Michiura; K Inoue; M Sato; K Nakai; K Yamamichi
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The British journal of surgery     Volume:  89     ISSN:  0007-1323     ISO Abbreviation:  Br J Surg     Publication Date:  2002 Feb 
Date Detail:
Created Date:  2002-02-21     Completed Date:  2002-03-21     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0372553     Medline TA:  Br J Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  220-4     Citation Subset:  AIM; IM    
Second Department of Surgery, Kansai Medical University, 10-15 Fumizonocho, Moriguchi, Osaka 570, Japan.
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MeSH Terms
Bile Reflux / etiology
Body Weight
Esophagitis, Peptic / etiology
Gastrectomy / methods*
Gastric Emptying / physiology
Gastroscopy / methods
Lymph Node Excision / methods
Lymphatic Metastasis
Middle Aged
Nutritional Status
Postoperative Complications / etiology*,  pathology
Pyloric Antrum / pathology
Pylorus / pathology,  surgery*
Retrospective Studies
Stomach Neoplasms / pathology*,  physiopathology

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