Evaluation of QOL After Proximal Gastrectomy Using a Newly Developed Assessment Scale (PGSAS‐45)

Abstract

These results indicated that QOL was better in patients with a large remnant stomach. Procedures to prevent gastroesophageal reflux, and the use of pyloric bougie as a complementary drainage procedure, were considered effective ways to reduce the deterioration of QOL.

Functional Advantages of Proximal Gastrectomy with Jejunal Interposition Over Total Gastrectomy with Roux‐en‐Y Esophagojejunostomy for Early Gastric Cancer

“…The volume of the remnant stomach after PG can affect patient quality of life [33]. In the present study, PG was indicated for patients with cancer confined to the upper third of the stomach, and more than half of the stomach was preserved routinely.…”

Functional evaluations comparing the double-tract method and the jejunal interposition method following laparoscopic proximal gastrectomy for gastric cancer: an investigation including laparoscopic total gastrectomy

“…Takiguchi et al [19] reported that PG was better than total gastrectomy in terms of weight loss, need for additional meals, diarrhea, and dumping symptoms in a multi-institutional study. Especially in esophagogastrostomy after PG, Inada et al [20] reported that diarrhea scores and the need for additional meals were lower in the group with more than three-quarters of a remnant stomach than in those with a remnant stomach two-thirds the preoperative size. In the present study, the postoperative body weight and meal intake were significantly higher in the LPG group than in the L-TG group.…”

The current state of stomach cancer surgery in the world

“…In a comparison between proximal gastrectomy (n = 193) and total gastrectomy (n = 393), significant differences were observed in the magnitude of body weight loss and subscales looking at necessity for additional meals, diarrhea and Dumping syndrome, all in favor of proximal gastrectomy (72). Another study looking only at 115 patients who underwent proximal gastrectomy followed by esophagogastrectomy identified large remnant stomach, addition of anti-reflux procedure, and the use of pyloric bougie as predictors of better quality of life (73). Further prospective studies using this or other tools (74,75) to evaluate health-related quality of life with focus on the postgastrectomy syndrome are warranted to confirm advantage of performing proximal gastrectomy and to find optimal method of reconstruction.…”