Relationship between Jejunal Interdigestive Migrating Motor Complex and Quality of Life after Total Gastrectomy with Roux-en-Y Reconstruction for Early Gastric Cancer

2003 ◽  
Vol 27 (2) ◽  
pp. 159-163 ◽  
Author(s):  
Ryouichi Tomita ◽  
Shigeru Fujisaki ◽  
Katsuhisa Tanjoh ◽  
Masahiro Fukuzawa
Keyword(s):  
Quality Of Life ◽  
Gastric Cancer ◽  
Early Gastric Cancer ◽  
Total Gastrectomy ◽  
Migrating Motor Complex ◽  
Motor Complex ◽  
Interdigestive Migrating Motor Complex

scholarly journals Postoperative nutritional outcomes and quality of life-related complications of proximal versus total gastrectomy for upper-third early gastric cancer: a meta-analysis

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Inhyeok Lee ◽  
Youjin Oh ◽  
Shin- Hoo Park ◽  
Yeongkeun Kwon ◽  
Sungsoo Park
Keyword(s):  
Quality Of Life ◽  
Gastric Cancer ◽  
Early Gastric Cancer ◽  
Total Gastrectomy ◽  
Meta Analysis ◽  
Anastomotic Stenosis ◽  
Operative Outcomes ◽  
Upper Third ◽  
Nutritional Outcomes

AbstractAlthough proximal gastrectomy (PG) provides superior nutritional outcomes over total gastrectomy (TG) in upper-third early gastric cancer (EGC), surgeons are reluctant to perform PG due to the high rate of postoperative reflux. This meta-analysis aimed to comprehensively compare operative outcomes, nutritional outcomes, and quality of life-related complications between TG and PG performed with esophagogastrostomy (EG), jejunal interposition, or double-tract reconstruction (DTR) to reduce reflux after PG. After searching PubMed, Embase, Medline, and Web of Science databases, 25 studies comparing PG with TG in upper-third EGC published up to October 2020 were identified. PG with DTR was similar to TG regarding operative outcomes. Patients who underwent PG with DTR had less weight reduction (weighted mean difference [WMD] 4.29; 95% confidence interval [0.51–8.07]), reduced hemoglobin loss (WMD 5.74; [2.56–8.93]), and reduced vitamin B12 supplementation requirement (odds ratio [OR] 0.06; [0.00–0.89]) compared to patients who underwent TG. PG with EG caused more reflux (OR 5.18; [2.03–13.24]) and anastomotic stenosis (OR 3.94; [2.40–6.46]) than TG. However, PG with DTR was similar to TG regarding quality of life-related complications including reflux, anastomotic stenosis, and leakage. Hence, PG with DTR can be recommended for patients with upper-third EGC considering its superior postoperative nutritional outcomes.

scholarly journals Long Term Survival and Quality of Life after Minimally Invasive Surgery for Early Gastric Cancer.

1998 ◽  
Vol 31 (4) ◽  
pp. 1015-1019
Author(s):  
Tetsuro Kubota ◽  
Yoichiro Ishikawa ◽  
Soichiro Isshiki ◽  
Takeyoshi Yokoyama ◽  
Koji Fujita ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Gastric Cancer ◽  
Minimally Invasive Surgery ◽  
Early Gastric Cancer ◽  
Minimally Invasive ◽  
Invasive Surgery ◽  
Term Survival ◽  
Long Term Survival
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