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

scholarly journals Radiographic study of patients submitted to total gastrectomy using Safatle reconstruction technique

2008 ◽  
Vol 45 (3) ◽  
pp. 230-233
Author(s):  
Alberto Luiz Monteiro Meyer ◽  
Eduardo Berger ◽  
Orlando Monteiro Jr. ◽  
Paulino Alberto Alonso ◽  
João Sadi Lerner
Keyword(s):  
Quality Of Life ◽  
Gastric Cancer ◽  
Total Gastrectomy ◽  
Gastrointestinal Transit ◽  
Jejunal Loop ◽  
Reconstruction Technique ◽  
Resected Stomach ◽  
Radiographic Study ◽  
Drainage Time

BACKGROUND: Ever since the first total gastrectomy, there has always been a great concern in increasing the survival of patients, and with the advance of techniques, in improving the quality of life of these patients. The most common reconstruction technique of the gastrointestinal transit is the Roux-en-Y. The reposition of a functional pouch in place of the resected stomach was proposed to minimize the postprandial symptoms, improve the nutritional grade and consequently, the quality of life. The Safatle reconstruction of the gastrointestinal transit technique consists of, in short, in the association of the interposition of the jejunal loop with partial transit through the duodenum, with an inverted Roux-en-Y and with the creation of a pouch which resembles the dynamics of the stomach, achieved by duodenojejunal segment which has an antiperistalsis emptying. AIM: To assess, by radiographic means, the emptying of the duodenojejunal pouch in patients submitted to total gastrectomy using the Safatle reconstruction technique. METHOD: Twelve patients submitted to total gastrectomy using the Safatle technique due to gastric cancer were studied. They were summoned to perform contrasted radiographies of the esophagus-duodenum-jejunum by the videofluoroscopic method during the months of July and August, 2005. RESULTS: All the patients presented satisfactory movement of the duodenojejunal pouch and an adequate emptying in antiperistalsis without food stasis. There has been an average 25-minute drainage time of the duodenojejunal pouch. CONCLUSION: The duodenojejunal pouch, in the patients submitted to total gastrectomy using the Safatle reconstruction, presented adequate emptying and movement.

scholarly journals Evaluation of postoperative quality of life by PGSAS-45 following local gastrectomy based on the sentinel lymph node concept in early gastric cancer

2020 ◽  
Vol 23 (4) ◽  
pp. 746-753 ◽  
Author(s):  
Keishi Okubo ◽  
Takaaki Arigami ◽  
Daisuke Matsushita ◽  
Ken Sasaki ◽  
Takashi Kijima ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Gastric Cancer ◽  
Lymph Node ◽  
Sentinel Lymph Node ◽  
Early Gastric Cancer ◽  
Sentinel Lymph Node Concept ◽  
Postoperative Quality

Health-Related Quality of Life After Robot-Assisted Distal Gastrectomy in Early Gastric Cancer

2013 ◽  
Vol 38 (5) ◽  
pp. 1112-1120 ◽  
Author(s):  
Ji Yeon Park ◽  
Bang Wool Eom ◽  
Min Jung Jo ◽  
Hong Man Yoon ◽  
Keun Won Ryu ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Gastric Cancer ◽  
Early Gastric Cancer ◽  
Distal Gastrectomy ◽  
Health Related Quality ◽  
Robot Assisted ◽  
Related Quality ◽  
Health Related

scholarly journals Comparision of Quality of Life Following Gastrectomy with D1 Versus D2 Lymph Node Dissection for Early Gastric Cancer.

1995 ◽  
Vol 28 (12) ◽  
pp. 2242-2247
Author(s):  
Tsuguo Fujioka ◽  
Kiyoshi Sawai ◽  
Miyakatsu Ohara ◽  
Hiroshi Minato ◽  
Yuichi Yada ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Gastric Cancer ◽  
Lymph Node ◽  
Early Gastric Cancer ◽  
Lymph Node Dissection ◽  
Node Dissection ◽  
D2 Lymph Node Dissection
Sign in / Sign up

Export Citation Format

Share Document