Pylorus-Preserving Gastrectomy for Early Gastric Cancer
Journal of the Korean Surgical Society
; : 238-244, 2000.
Article
em Ko
| WPRIM
| ID: wpr-94632
Biblioteca responsável:
WPRO
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.
Palavras-chave
Texto completo:
1
Base de dados:
WPRIM
Assunto principal:
Qualidade de Vida
/
Estômago
/
Neoplasias Gástricas
/
Peso Corporal
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Gastroenterostomia
/
Gastroscopia
/
Ingestão de Alimentos
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Refeições
/
Gastrectomia
/
Acetaminofen
Aspecto:
Patient_preference
Limite:
Humans
Idioma:
Ko
Revista:
Journal of the Korean Surgical Society
Ano de publicação:
2000
Tipo de documento:
Article