Factors that minimize postgastrectomy symptoms following pylorus-preserving gastrectomy: assessment using a newly developed scale (PGSAS-45)

Tsutomu Namikawa, Naoki Hiki, Shinichi Kinami, Hiroshi Okabe, Takashi Urushihara, Hiroshi Kawahira, Norimasa Fukushima, Yasuhiro Kodera, Takeyoshi Yumiba, Atsushi Oshio, Koji Nakada

研究成果: Article

11 引用 (Scopus)

抄録

Background: Pylorus-preserving gastrectomy (PPG) is sometimes performed as a function-preserving surgery for the treatment of early gastric cancer. The aim of this study was to use an integrated assessment scale for postgastrectomy syndrome to determine the appropriate indicators and optimal methods for PPG.Methods: The Postgastrectomy Syndrome Assessment Study (PGSAS) is a multicenter survey based on an integrated questionnaire (PGSAS-45) consisting of 45 items. Questionnaire responses were retrieved from a total of 2,520 patients, each of whom had undergone one of six different types of gastrectomy procedures; 313 responses from patients who had received PPG were analyzed here.Results: The size of the proximal gastric remnant (less than one-quarter, about one-third, or more than one-half of the original size) significantly influenced the change in body weight, the scores for dissatisfaction at the meal, and dissatisfaction for daily life subscale (P = 0.030, P = 0.005, P = 0.034, respectively). The nausea score in patients who underwent hand-sewn anastomosis was significantly lower than in those who underwent anastomosis with a linear stapler (P = 0.006). The scores for diarrhea subscale, increased passage of stools, and sense of foods sticking differed significantly depending on the length of the preserved pyloric cuff (P = 0.047, P = 0.021, P = 0.046, respectively).Conclusions: The results suggest that preservation of a sufficient proximal gastric remnant is recommended when utilizing PPG as function-preserving surgery.

元の言語English
ページ(範囲)397-406
ページ数10
ジャーナルGastric Cancer
18
発行部数2
DOI
出版物ステータスPublished - 2015 4 1

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Postgastrectomy Syndromes
Pylorus
Gastrectomy
Gastric Stump
Body Weight Changes
Nausea
Stomach Neoplasms
Meals
Diarrhea
Hand
Food
Surveys and Questionnaires

ASJC Scopus subject areas

  • Oncology
  • Gastroenterology
  • Cancer Research

これを引用

Factors that minimize postgastrectomy symptoms following pylorus-preserving gastrectomy : assessment using a newly developed scale (PGSAS-45). / Namikawa, Tsutomu; Hiki, Naoki; Kinami, Shinichi; Okabe, Hiroshi; Urushihara, Takashi; Kawahira, Hiroshi; Fukushima, Norimasa; Kodera, Yasuhiro; Yumiba, Takeyoshi; Oshio, Atsushi; Nakada, Koji.

:: Gastric Cancer, 巻 18, 番号 2, 01.04.2015, p. 397-406.

研究成果: Article

Namikawa, T, Hiki, N, Kinami, S, Okabe, H, Urushihara, T, Kawahira, H, Fukushima, N, Kodera, Y, Yumiba, T, Oshio, A & Nakada, K 2015, 'Factors that minimize postgastrectomy symptoms following pylorus-preserving gastrectomy: assessment using a newly developed scale (PGSAS-45)', Gastric Cancer, 巻. 18, 番号 2, pp. 397-406. https://doi.org/10.1007/s10120-014-0366-y
Namikawa, Tsutomu ; Hiki, Naoki ; Kinami, Shinichi ; Okabe, Hiroshi ; Urushihara, Takashi ; Kawahira, Hiroshi ; Fukushima, Norimasa ; Kodera, Yasuhiro ; Yumiba, Takeyoshi ; Oshio, Atsushi ; Nakada, Koji. / Factors that minimize postgastrectomy symptoms following pylorus-preserving gastrectomy : assessment using a newly developed scale (PGSAS-45). :: Gastric Cancer. 2015 ; 巻 18, 番号 2. pp. 397-406.
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T2 - assessment using a newly developed scale (PGSAS-45)

AU - Namikawa, Tsutomu

AU - Hiki, Naoki

AU - Kinami, Shinichi

AU - Okabe, Hiroshi

AU - Urushihara, Takashi

AU - Kawahira, Hiroshi

AU - Fukushima, Norimasa

AU - Kodera, Yasuhiro

AU - Yumiba, Takeyoshi

AU - Oshio, Atsushi

AU - Nakada, Koji

PY - 2015/4/1

Y1 - 2015/4/1

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AB - Background: Pylorus-preserving gastrectomy (PPG) is sometimes performed as a function-preserving surgery for the treatment of early gastric cancer. The aim of this study was to use an integrated assessment scale for postgastrectomy syndrome to determine the appropriate indicators and optimal methods for PPG.Methods: The Postgastrectomy Syndrome Assessment Study (PGSAS) is a multicenter survey based on an integrated questionnaire (PGSAS-45) consisting of 45 items. Questionnaire responses were retrieved from a total of 2,520 patients, each of whom had undergone one of six different types of gastrectomy procedures; 313 responses from patients who had received PPG were analyzed here.Results: The size of the proximal gastric remnant (less than one-quarter, about one-third, or more than one-half of the original size) significantly influenced the change in body weight, the scores for dissatisfaction at the meal, and dissatisfaction for daily life subscale (P = 0.030, P = 0.005, P = 0.034, respectively). The nausea score in patients who underwent hand-sewn anastomosis was significantly lower than in those who underwent anastomosis with a linear stapler (P = 0.006). The scores for diarrhea subscale, increased passage of stools, and sense of foods sticking differed significantly depending on the length of the preserved pyloric cuff (P = 0.047, P = 0.021, P = 0.046, respectively).Conclusions: The results suggest that preservation of a sufficient proximal gastric remnant is recommended when utilizing PPG as function-preserving surgery.

KW - Early gastric cancer

KW - Function-preserving surgery

KW - Postgastrectomy syndrome

KW - Pylorus-preserving gastrectomy

KW - Quality of life

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U2 - 10.1007/s10120-014-0366-y

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JO - Gastric Cancer

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