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The favorite reconstruction methods and surgical procedures after gastrectomy in Japanese institutions and their impact on postoperative quality of life
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K. Nakada1,
H. Kashiwagi2,
M. Terashima3 |
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1Department of Laboratory Medicine, Jikei University School of Medicine, 2Department of Surgery, Fuji City General Hospital, 3Division of Gastric Surgery, Shizuoka Cancer Center |
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| Aims: (1) To clarify the current trend of reconstruction methods and surgical procedures after gastrectomy in Japanese institutions, and (2) to study their effect on postoperative quality of life (QOL). Methods: (1) The 44th annual meeting of the Japanese Society for Gastro-surgical Pathophysiology conducted a nationwide questionnaire survey (117 institutions). (2) The Japan postgastrectomy syndrome working party conducted a nationwide questionnaire survey called PGSAS (52 institutions). The obtained data was analyzed separately. Results: (1) [Distal gastrectomy (DG) ] The prevalence of Billroth I (BI) and Roux-en-Y (RY) were 86%:10%, 68%:27%, and 7%; 88% when the size of remnant stomach were 1/2, 1/3 and 1/4, respectively. [Total gastrectomy (TG) ] Reconstructive route; retrocolic (44%), antecolic (56%). Esophagojejunostomy; circular stapler (85%), linear stapler (15%). The length of Roux limb (20-60cm) ; 35cm > (12%), 40cm (52%), 45cm < (36%). (2) [DG] DGBI showed smaller weight loss, but stronger reflux symptom compared to DGRY. [TG] Retrocolic reconstructive route showed stronger reflux symptom. Longer Roux limb showed stronger indigestion, abdominal pain and dumping symptom. Esophagojejunostomy procedures have no effect on QOL.Conclusions: The favorite reconstruction methods and surgical procedures after gastrectomy were varied among the institutions, and they had a certain impact on QOL. To identify the better surgical procedures and disperse them widely seem vital for improving QOL. |
Index Term 1: Gastrectomy procedures
Index Term 2: Quality of life |
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