A new pouch reconstruction method after total gastrectomy (pouch-double tract method) improved the postoperative quality of life of patients with gastric cancer

Ikeguchi, Masahide; Kuroda, Hirohiko; Saito, Hiroaki; Tatebe, Shigeru; Wakatsuki, Toshiro

doi:10.1007/s00423-011-0779-6

Cited by 16 publications

(32 citation statements)

References 18 publications

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“…The interposition of the jejunum between the esophagus and duodenum provides advantages in terms of nutritional benefits by secreting hormones through the duodenal passage and endoscopic accessibility to the duodenum, biliary tract, and pancreas. Recently, postoperative advantages of DT after TG have been reported, in terms of patients' BW, quality of life, and nutritional conditions [14]. Takase et al [10] concluded that fat absorption influenced nutrition in BW recovery of patients after gastrectomy.…”

Section: Discussionmentioning

confidence: 99%

“…Another research found that BW gain was better in the group with preserved duodenal passage compared to the group without it in periods of 12 and 24 months after the operation [2]. Also, patients treated by TG and esophagojejunostomy with RY occasionally have dysphagia and appetite loss that result in BW loss [14]. Kalmár et al [15] reported that TG leads to significant BW loss in 40-90% of patients.…”

Section: Discussionmentioning

confidence: 99%

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Impact of reconstructive procedures with and without preserving the duodenal passage on body weight in patients after total gastrectomy for gastric cancer

et al. 2017

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Introduction/Objective The ideal reconstruction procedure after total gastrectomy should replace all lost functions of the stomach. The aim of this study was to evaluate the usefulness of preserving the duodenal passage in subsequent improvement of body weight (BW) and body mass index (BMI) in patients with gastric cancer after total gastrectomy. Methods A total of 30 patients with gastric cancer were prospectively randomly divided into a group of reconstruction with double-tract (n = 15) and a group of reconstruction with simple Roux-en-Y after total gastrectomy. They were stratified by sex, age, their anthropometric measurements (BW, BMI), primary tumor localization, Lauren's classification, TNM stage classification, length of hospital stay, operation duration, postoperative complications, and mortality. Postoperatively, BW and BMI were measured at three, six, and 12 months and compared between the two groups. Results The clinical group of double-tract patients had significantly higher the values of BW in the postoperative period after six (66.6 ± 4.9 vs. 61.7 ± 7.6; p < 0.05 paired Student's t-test) and after 12 months (67.0 ± 4.9 vs. 62.3 ± 7.2; p < 0.05 paired Student's t-test) compared to the group of Roux-en-Y patients. On the other hand, the clinical group of double-tract patients also had significantly higher the values of BMI in postoperative period after 12 months (23.6 ± 1.1 vs. 22.5 ± 1.6; p < 0.05 paired Student's t-test) in relation to the Roux-en-Y group of patients. Conclusion Reconstruction procedure carried out after total gastrectomy which implies preserving the duodenal passage has significant increase of BW and BMI, compared to reconstruction procedure without the preservation of the duodenal passage.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Impact of reconstructive procedures with and without preserving the duodenal passage on body weight in patients after total gastrectomy for gastric cancer

et al. 2017

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“…Recently, many patients and surgeons have become interested in quality of life after surgery because the 5 year survival rate for early gastric cancer has been reported to be as high as 90%. [4][5][6] Minimally invasive surgery for early gastric cancer, including endoscopic submucosal dissection, laparoscopic gastrectomy, and robotic gastrectomy, can improve the patient's quality of life after surgery. Among the minimally invasive surgical techniques, great advances have been made in the surgical treatment of early gastric cancer with laparoscopic gastrectomy.…”

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confidence: 99%

A 5 Year Analysis of Readmissions after Radical Subtotal Gastrectomy for Early Gastric Cancer

Kim

Jung

2012

Ann Surg Oncol

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“…Early gastric cancer (EGC) is defined as adenocarcinoma in which the depth of invasion is confined to the mucosa or submucosa, irrespective of lymph node metastasis, and has a good prognosis with surgical curative resection [5]. Many surgeons are very interested in the patient's quality of life, because most patients can be cured after surgery [6,7,8]. Many clinical studies have been carried out on long-term survival results and short-term postoperative outcome in order to clarify the advantages of laparoscopy-assisted distal subtotal gastrectomy (LADG) for EGC patients [9,10,11,12,13,14,15].…”

Section: Introductionmentioning

confidence: 99%

Comprehension of readmission after laparoscopy assisted distal gastrectomy: what are the causes?

Kim

et al. 2014

Ann Surg Treat Res

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PurposeThe aim of this study is to evaluate long-term outcomes regarding readmission for laparoscopy-assisted distal subtotal gastrectomy (LADG) compared to conventional open distal subtotal gastrectomy (CODG) for early gastric cancer (EGC).MethodsBetween January 2003 and December 2006, 223 and 106 patients underwent LADG and CODG, respectively, for EGC by one surgeon. The clinicopathologic characteristics, postoperative outcomes, postoperative complications, overall 5-year survival, recurrence, and readmission were retrospectively compared between the two groups.ResultsMultiple readmission rate in LADG was significantly less than that in CODG (0.4% vs. 3.8%, P = 0.039), although the readmission rate, reoperation rate after discharge, and mean readmission days were not significantly different between the two groups. Readmission rates of the LADG and CODG groups were 12.6% and 14.2%, respectively. First flatus time and postoperative hospital stay was significantly shorter in the LADG group. However, there was no significant difference in the complication rates between the two groups. Overall 5-year survival rates of the LADG and CODG group were 100% and 99.1% (P = 0.038), respectively.ConclusionCompared to the CODG group, the LADG group has several advantages in surgical short-term outcome and some benefit in terms of readmission in surgical long-term outcome for patients with EGC, even though the oncologic outcome of LADG is similar to that of CODG over 5 years.

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A new pouch reconstruction method after total gastrectomy (pouch-double tract method) improved the postoperative quality of life of patients with gastric cancer

Abstract: PDT is safe and associated with better nutritional status compared with the RY.

Cited by 16 publications

References 18 publications

Impact of reconstructive procedures with and without preserving the duodenal passage on body weight in patients after total gastrectomy for gastric cancer

Impact of reconstructive procedures with and without preserving the duodenal passage on body weight in patients after total gastrectomy for gastric cancer

A 5 Year Analysis of Readmissions after Radical Subtotal Gastrectomy for Early Gastric Cancer

Comprehension of readmission after laparoscopy assisted distal gastrectomy: what are the causes?

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