Quality of life as a fundamental outcome after curative intent gastrectomy for adenocarcinoma: lessons learned from patients

Pinheiro, Rodrigo Nascimento; Mucci, Samantha; Zanatto, Renato Morato; Junior, Olavo Magalhães Picanço; A, Bottino; Fontoura, Renata Pereira; Filho, Gaspar de Jesus Lopes

doi:10.21037/jgo.2019.06.05

Cited by 7 publications

(41 citation statements)

References 56 publications

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“…63,147 A clear relationship has been established between improvement in QoL scores and the postoperative interval. 148 The surgical procedure itself is a factor that worsens QoL, as seen by the drop in QoL scores in the first postoperative visit, and was also found to be significant in other studies. [148][149][150][151] The literature and our data report that improvement in QoL starts at 3 months postoperatively, becomes substantial after 6 months and completely recovers with resolution of symptoms associated with surgical sequelae between 12 and 24 months.…”

Section: Short-term Oncological Outcomesmentioning

confidence: 66%

“…[148][149][150][151] The literature and our data report that improvement in QoL starts at 3 months postoperatively, becomes substantial after 6 months and completely recovers with resolution of symptoms associated with surgical sequelae between 12 and 24 months. 67,148,149,[151][152][153][154] Patients should be informed that quality of life will deteriorate short-term while recovering from surgery and that it will start improving substantially after 3 months, regardless of transfusion requirements.…”

Section: Short-term Oncological Outcomesmentioning

confidence: 97%

See 1 more Smart Citation

Perioperative Transfusions for Gastroesophageal Cancers: Risk Factors and Short- and Long-Term Outcomes

Kammili

Kaneva

Lee

et al. 2021

Journal of Gastrointestinal Surgery

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Section: Short-term Oncological Outcomesmentioning

confidence: 66%

Section: Short-term Oncological Outcomesmentioning

confidence: 97%

Perioperative Transfusions for Gastroesophageal Cancers: Risk Factors and Short- and Long-Term Outcomes

Kammili

Kaneva

Lee

et al. 2021

Journal of Gastrointestinal Surgery

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“…The concept of quality of life has been widely discussed in the literature. The World Health Organization has defined the quality of life as "each person's understanding of their own position in life in the context of the education and value systems in which they live and in relation to their purposes, expectations, standards and concerns" (26).…”

Section: Discussionmentioning

confidence: 99%

In Search of the Optimal Reconstruction Method after Total Gastrectomy. Is Roux-en-Y the Best? A Review of the Randomized Clinical Trials

Naum¹,

Bîrlă²,

Marica³

et al. 2020

chr

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RezumatAu fost propuse numeroase proceduri, de reconstrucţie, după gastrectomie cu scopul de a obţine o morbiditate postoperatorie cât mai scăzută. Esojejunostomia Roux-in-Y este acceptată pe scară largă ca o metodă de reconstrucţie standard datorită simplităţii sale şi a rezultatelor nutriţionale satisfăcătoare. Construcţia unui rezervor gastric şi menţinerea duodenului în tranzit au fost propuse pentru a ameliora calitatea vieţii pacienţilor cu cancer gastric. Scopul acestui studiu este de a evalua calitatea vieţii pacienţilor cu diferite tipuri de reconstrucţie după gastrectomie totală. Metode: S-a efectuat o căutare sistematică în literatura de specialitate în PubMed, Science Direct, Wiley Online, Springer Link, până la 1 decembrie 2019. Au fost incluse doar articole originale publicate în limba engleză. Calitatea vieţii a fost măsurată folosind diferite instrumente. S-au evaluat aspectele postoperatorii de esofagită de reflux, sindromul dumping, ingestia alimentară şi statusul ponderal. Rezultate: 15 studii au fost incluse în această cercetare. Au fost comparate trei tehnici de restabilire a continuităţii tractului digestiv: eso-jejunostomia Roux-în-Y, interpoziţia jejunală şi construcţia unui rezervor gastric. S-au evaluat rezultatele statistice ale studiilor incluse, în ceea ce priveşte calitatea vieţii şi statusul ponderal. Concluzii: Lungimea ansei alimentare pentru profilaxia refluxului esojejunal trebuie să fie de minim 50 cm, dar nu mai mare de 60 cm pentru prevenirea malabsorbţiei. Calitatea vieţii a fost semnificativ îmbunătăţită la pacienţii la care s-a utilizat rezervorul gastric. Menţinerea tranzitului duodenal nu pare sa aducă niciun beneficiu în calitatea vieţii, sau statusul ponderal, chiar dacă aceasta este o cale fiziologică.Cuvinte cheie: reconstrucţie după gastrectomie totală, pouch, interpoziţie jejunală, calitatea vieţii postgastrectomie totală Abstract Background: Numerous procedures for reconstruction after total gastrectomy have been proposed in order to achieve the lowest postoperative morbidity. Roux-en-Y esojejunostomy is widely accepted as a standard reconstruction technique due to its simplicity and its satisfactory nutritional outcomes. The construction of a gastric pouch and the maintenance of the duodenal transit have been proposed to ameliorate the quality of life of patients with gastric cancer. The aim of this study is to assess the quality of life of patients with different types of reconstruction after total gastrectomy. Material and Method: A systematic literature search was performed in PubMed, Science Direct, Wiley Online, Springer Link, up to December 1, 2019. Only original articles published in English were included. Quality of life was measured using different instruments. Postoperative aspects of reflux oesophagitis, dumping syndrome, food intake and weight status were evaluated. Results: 15 studies were included in this research. Three techniques for restoring the digestive tract continuity were compared: Roux-en-Y eso-jejunostomy, jejunal interposition and gastri...

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“…The midwest and northeast occupy the sixth position, followed by the southeast, occupying the seventh position (Table 1 )[ 1 ]. Although its incidence has declined, the registered mortality of gastric cancer is still high, reaching approximately 70% to 90% in Latin America, Asia, and Eastern Europe[ 2 - 4 ].…”

Section: Introductionmentioning

confidence: 99%

“…The concept of QoL most frequently used in health studies is health-related QoL, encompassing the impact of a disease and its treatments on diverse aspects of life. The idea of QoL is centered on subjective assessment and reported by patients themselves, relating the influence of their health status to their ability to live fully[ 3 - 7 ].…”

Section: Introductionmentioning

confidence: 99%

Health-related quality of life after gastric cancer treatment in Brazil: Narrative review and reflections

Pinheiro

Mucci

Zanatto

et al. 2021

WJCC

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In Brazil, gastric cancer is the third most common type of cancer among men and fifth among women, with an estimated 13360 new cases among men and 7870 among women each year during the 2020-2022 period. This study presents reflections and attempts to add knowledge to the theme of quality of life (QoL) in patients with gastric adenocarcinoma and describes some of its characteristics in three regions of Brazil, with an evaluation of the disease’s impacts in various dimensions of life, as reported by the patients themselves. We performed a narrative review of the literature and a data analysis of studies on QoL in Brazilian patients treated for gastric adenocarcinoma from three different cities in three geographic regions: Brasília (the midwest), Jaú (the southeast), and Macapá (the north).

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Quality of life as a fundamental outcome after curative intent gastrectomy for adenocarcinoma: lessons learned from patients

Cited by 7 publications

References 56 publications

Perioperative Transfusions for Gastroesophageal Cancers: Risk Factors and Short- and Long-Term Outcomes

Perioperative Transfusions for Gastroesophageal Cancers: Risk Factors and Short- and Long-Term Outcomes

In Search of the Optimal Reconstruction Method after Total Gastrectomy. Is Roux-en-Y the Best? A Review of the Randomized Clinical Trials

Health-related quality of life after gastric cancer treatment in Brazil: Narrative review and reflections

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