Pylorus-Preserving Gastrectomy for Early Gastric Cancer
Yeon-Myung SHIN; Kyung-Hyun CHOI; Sung-Do LEE.
Journal of the Korean Surgical Society
; : 238-244, 2000.
Artículo
en Ko
| WPRIM | ID: wpr-94632
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.
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