Pylorus-Preserving Gastrectomy for Early Gastric Cancer
Journal of the Korean Surgical Society
;
: 238-244, 2000.
Article
in Korean
| WPRIM
| ID: wpr-94632
ABSTRACT
BACKGROUND:
The physical results after a pylorus-preserving gastrectomy (PPG) for early gastric cancer were evluated.METHODS:
From August 1996 to March 1998, sixteen (16) patients underwent a PPG, and 17 patients underwent a conventional distal gastrectomy with Billroth I anastomosis (DG). The patients undergoing the PPG and theDG procedures were assessed for 1 year following their surgical procedure. Changes in body weight, food intake volume, and abdominal symptoms, which were determined from questionaires, gastric-emptying tests using the acetaminophen method, and gastroscopic findings, were compared between the two groups.RESULTS:
There were no significant differences in the body weight ratio and the amount of food taken in a meal between the two groups. Patients who had a PPG had fewer postoperative abdominal symptoms than those who underwent a DG. After a DG, emptying was much more rapid. Gastroscopy revealed that the mucosa of the stomach remnant after a PPG was less abnormal than it was after a DG, but food stasis was more frequent after a PPG.CONCLUSION:
A PPG is a more physiological operation than a conventional DG and should be used in carefully selected patient with early gastric cancer to improve their quality of life.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Quality of Life
/
Stomach
/
Stomach Neoplasms
/
Body Weight
/
Gastroenterostomy
/
Gastroscopy
/
Eating
/
Meals
/
Gastrectomy
/
Acetaminophen
Limits:
Humans
Language:
Korean
Journal:
Journal of the Korean Surgical Society
Year:
2000
Type:
Article
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