Background factors influencing postgastrectomy syndromes after various types of gastrectomy

Shinichi Kinami, Masazumi Takahashi, Takashi Urushihara, Masami Ikeda, Masashi Yoshida, Yoshikazu Uenosono, Atsushi Oshio, Yoshimi Suzukamo, Masanori Terashima, Yasuhiro Kodera, Koji Nakada

研究成果: Article

1 引用 (Scopus)

抄録

BACKGROUND Postgastrectomy syndromes (PGS) after curative gastrectomy for gastric cancer are influenced by not only gastrectomy type but also by background factors. Recently, a nationwide PGS study was performed using the Postgastrectomy Syndrome Assessment Scale-45 (PGSAS-45) questionnaire. AIM To determine the influence of each background factor on PGS for each gastrectomy type using PGS assessment study (PGSAS) data as an additional analysis. METHODS The data of 2368 patients were obtained from the PGSAS. This included patients undergoing distal gastrectomy (DG) with Billroth I reconstruction, DG with Roux-en-Y reconstruction, total gastrectomy with Roux-en-Y, proximal gastrectomy, pylorus-preserving gastrectomy (PPG), and local resection. Multiple regression analysis was performed to explore the independent effects of each background factor on the main outcome measures (MOMs) of PGSAS-45 for each gastrectomy type. The background factors included postoperative period, age, sex, surgical approach (laparoscopic or open), and the status of the celiac branch of the vagal nerve. RESULTS The MOMs of DG and PPG were highly affected by background factors, whereas those of total gastrectomy with Roux-en-Y, proximal gastrectomy, and local resection were not. Worse PGS were found in females, whereas a longer postoperative period alleviated some of the MOMs. For DG and PPG, a laparoscopic approach and preservation of the celiac branch improved several MOMs. CONCLUSION Various background factors affected PGS, and their influence varied with the type of gastrectomy performed. Laparoscopic surgery and celiac branch preservation can improve PGS in patients undergoing DG and PPG.

元の言語English
ページ(範囲)1111-1120
ページ数10
ジャーナルWorld Journal of Clinical Cases
6
発行部数16
DOI
出版物ステータスPublished - 2018 12 1

Fingerprint

Postgastrectomy Syndromes
Gastrectomy
Pylorus
Outcome Assessment (Health Care)
Abdomen
Postoperative Period

ASJC Scopus subject areas

  • Medicine(all)

これを引用

Kinami, S., Takahashi, M., Urushihara, T., Ikeda, M., Yoshida, M., Uenosono, Y., ... Nakada, K. (2018). Background factors influencing postgastrectomy syndromes after various types of gastrectomy. World Journal of Clinical Cases, 6(16), 1111-1120. https://doi.org/10.12998/wjcc.v6.i16.1111

Background factors influencing postgastrectomy syndromes after various types of gastrectomy. / Kinami, Shinichi; Takahashi, Masazumi; Urushihara, Takashi; Ikeda, Masami; Yoshida, Masashi; Uenosono, Yoshikazu; Oshio, Atsushi; Suzukamo, Yoshimi; Terashima, Masanori; Kodera, Yasuhiro; Nakada, Koji.

:: World Journal of Clinical Cases, 巻 6, 番号 16, 01.12.2018, p. 1111-1120.

研究成果: Article

Kinami, S, Takahashi, M, Urushihara, T, Ikeda, M, Yoshida, M, Uenosono, Y, Oshio, A, Suzukamo, Y, Terashima, M, Kodera, Y & Nakada, K 2018, 'Background factors influencing postgastrectomy syndromes after various types of gastrectomy', World Journal of Clinical Cases, 巻. 6, 番号 16, pp. 1111-1120. https://doi.org/10.12998/wjcc.v6.i16.1111
Kinami S, Takahashi M, Urushihara T, Ikeda M, Yoshida M, Uenosono Y その他. Background factors influencing postgastrectomy syndromes after various types of gastrectomy. World Journal of Clinical Cases. 2018 12 1;6(16):1111-1120. https://doi.org/10.12998/wjcc.v6.i16.1111
Kinami, Shinichi ; Takahashi, Masazumi ; Urushihara, Takashi ; Ikeda, Masami ; Yoshida, Masashi ; Uenosono, Yoshikazu ; Oshio, Atsushi ; Suzukamo, Yoshimi ; Terashima, Masanori ; Kodera, Yasuhiro ; Nakada, Koji. / Background factors influencing postgastrectomy syndromes after various types of gastrectomy. :: World Journal of Clinical Cases. 2018 ; 巻 6, 番号 16. pp. 1111-1120.
@article{d51a3a08d22d4553838c585e651b9cff,
title = "Background factors influencing postgastrectomy syndromes after various types of gastrectomy",
abstract = "BACKGROUND Postgastrectomy syndromes (PGS) after curative gastrectomy for gastric cancer are influenced by not only gastrectomy type but also by background factors. Recently, a nationwide PGS study was performed using the Postgastrectomy Syndrome Assessment Scale-45 (PGSAS-45) questionnaire. AIM To determine the influence of each background factor on PGS for each gastrectomy type using PGS assessment study (PGSAS) data as an additional analysis. METHODS The data of 2368 patients were obtained from the PGSAS. This included patients undergoing distal gastrectomy (DG) with Billroth I reconstruction, DG with Roux-en-Y reconstruction, total gastrectomy with Roux-en-Y, proximal gastrectomy, pylorus-preserving gastrectomy (PPG), and local resection. Multiple regression analysis was performed to explore the independent effects of each background factor on the main outcome measures (MOMs) of PGSAS-45 for each gastrectomy type. The background factors included postoperative period, age, sex, surgical approach (laparoscopic or open), and the status of the celiac branch of the vagal nerve. RESULTS The MOMs of DG and PPG were highly affected by background factors, whereas those of total gastrectomy with Roux-en-Y, proximal gastrectomy, and local resection were not. Worse PGS were found in females, whereas a longer postoperative period alleviated some of the MOMs. For DG and PPG, a laparoscopic approach and preservation of the celiac branch improved several MOMs. CONCLUSION Various background factors affected PGS, and their influence varied with the type of gastrectomy performed. Laparoscopic surgery and celiac branch preservation can improve PGS in patients undergoing DG and PPG.",
keywords = "Gastrectomy, Gastric cancer, Postgastrectomy syndrome, Postgastrectomy Syndrome Assessment Scale-45",
author = "Shinichi Kinami and Masazumi Takahashi and Takashi Urushihara and Masami Ikeda and Masashi Yoshida and Yoshikazu Uenosono and Atsushi Oshio and Yoshimi Suzukamo and Masanori Terashima and Yasuhiro Kodera and Koji Nakada",
year = "2018",
month = "12",
day = "1",
doi = "10.12998/wjcc.v6.i16.1111",
language = "English",
volume = "6",
pages = "1111--1120",
journal = "World Journal of Clinical Cases",
issn = "2307-8960",
publisher = "Baishideng Publishing Group",
number = "16",

}

TY - JOUR

T1 - Background factors influencing postgastrectomy syndromes after various types of gastrectomy

AU - Kinami, Shinichi

AU - Takahashi, Masazumi

AU - Urushihara, Takashi

AU - Ikeda, Masami

AU - Yoshida, Masashi

AU - Uenosono, Yoshikazu

AU - Oshio, Atsushi

AU - Suzukamo, Yoshimi

AU - Terashima, Masanori

AU - Kodera, Yasuhiro

AU - Nakada, Koji

PY - 2018/12/1

Y1 - 2018/12/1

N2 - BACKGROUND Postgastrectomy syndromes (PGS) after curative gastrectomy for gastric cancer are influenced by not only gastrectomy type but also by background factors. Recently, a nationwide PGS study was performed using the Postgastrectomy Syndrome Assessment Scale-45 (PGSAS-45) questionnaire. AIM To determine the influence of each background factor on PGS for each gastrectomy type using PGS assessment study (PGSAS) data as an additional analysis. METHODS The data of 2368 patients were obtained from the PGSAS. This included patients undergoing distal gastrectomy (DG) with Billroth I reconstruction, DG with Roux-en-Y reconstruction, total gastrectomy with Roux-en-Y, proximal gastrectomy, pylorus-preserving gastrectomy (PPG), and local resection. Multiple regression analysis was performed to explore the independent effects of each background factor on the main outcome measures (MOMs) of PGSAS-45 for each gastrectomy type. The background factors included postoperative period, age, sex, surgical approach (laparoscopic or open), and the status of the celiac branch of the vagal nerve. RESULTS The MOMs of DG and PPG were highly affected by background factors, whereas those of total gastrectomy with Roux-en-Y, proximal gastrectomy, and local resection were not. Worse PGS were found in females, whereas a longer postoperative period alleviated some of the MOMs. For DG and PPG, a laparoscopic approach and preservation of the celiac branch improved several MOMs. CONCLUSION Various background factors affected PGS, and their influence varied with the type of gastrectomy performed. Laparoscopic surgery and celiac branch preservation can improve PGS in patients undergoing DG and PPG.

AB - BACKGROUND Postgastrectomy syndromes (PGS) after curative gastrectomy for gastric cancer are influenced by not only gastrectomy type but also by background factors. Recently, a nationwide PGS study was performed using the Postgastrectomy Syndrome Assessment Scale-45 (PGSAS-45) questionnaire. AIM To determine the influence of each background factor on PGS for each gastrectomy type using PGS assessment study (PGSAS) data as an additional analysis. METHODS The data of 2368 patients were obtained from the PGSAS. This included patients undergoing distal gastrectomy (DG) with Billroth I reconstruction, DG with Roux-en-Y reconstruction, total gastrectomy with Roux-en-Y, proximal gastrectomy, pylorus-preserving gastrectomy (PPG), and local resection. Multiple regression analysis was performed to explore the independent effects of each background factor on the main outcome measures (MOMs) of PGSAS-45 for each gastrectomy type. The background factors included postoperative period, age, sex, surgical approach (laparoscopic or open), and the status of the celiac branch of the vagal nerve. RESULTS The MOMs of DG and PPG were highly affected by background factors, whereas those of total gastrectomy with Roux-en-Y, proximal gastrectomy, and local resection were not. Worse PGS were found in females, whereas a longer postoperative period alleviated some of the MOMs. For DG and PPG, a laparoscopic approach and preservation of the celiac branch improved several MOMs. CONCLUSION Various background factors affected PGS, and their influence varied with the type of gastrectomy performed. Laparoscopic surgery and celiac branch preservation can improve PGS in patients undergoing DG and PPG.

KW - Gastrectomy

KW - Gastric cancer

KW - Postgastrectomy syndrome

KW - Postgastrectomy Syndrome Assessment Scale-45

UR - http://www.scopus.com/inward/record.url?scp=85059136815&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85059136815&partnerID=8YFLogxK

U2 - 10.12998/wjcc.v6.i16.1111

DO - 10.12998/wjcc.v6.i16.1111

M3 - Article

VL - 6

SP - 1111

EP - 1120

JO - World Journal of Clinical Cases

JF - World Journal of Clinical Cases

SN - 2307-8960

IS - 16

ER -