Postoperative functional evaluation of pylorus-preserving gastrectomy for early gastric cancer compared with conventional distal gastrectomy
作者： Toshio Imada , Yasushi Rino , Makoto Takahashi , Makoto Suzuki , Junnichi Tanaka
DOI: 10.1016/S0039-6060(98)70254-5
关键词:
摘要: Abstract Background: Malnutrition, gallbladder dysfunction, dumping syndrome, reflux esophagitis, and gastritis of the remnant stomach are unfavorable sequelae in patients undergoing gastrectomy. Operative procedures should be improved to ensure such a satisfactory quality life. Methods: After operation, function, gastritis, gastric emptying, caloric intake were evaluated 20 with early cancer pylorus-preserving gastrectomy (PPG) 25 conventional distal (CDG). Results: The resting area increased significantly after CDG. In contrast, PPG showed no significant change contraction rate decreased slightly. CDG, emptying was much more rapid for first 30 minutes ingestion meal. Although delayed observed PPG, time. Gastric pH lower mucosal injury milder PPG. These results attributed preserved pyloric function. changes body weight operation similar both CDG groups. Conclusions: has advantages over terms condition stomach, emptying. used carefully selected improve their (Surgery 1998;123:165-70.)
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