Clinical features of gastric emptying after distal gastrectomy.
10.4174/astr.2017.93.6.310
- Author:
Dae Hoon KIM
1
;
Hyo Yung YUN
;
Young Jin SONG
;
Dong Hee RYU
;
Hye Suk HAN
;
Joung Ho HAN
;
Ki Bae KIM
;
Soon Man YOON
;
Sei Jin YOUN
Author Information
1. Department of Surgery, Chungbuk National University College of Medicine, Cheongju, Korea. yunhyo@chungbuk.ac.kr
- Publication Type:Original Article
- Keywords:
Gastrectomy;
Gastroparesis;
Gastric neoplasms;
Quality of life
- MeSH:
Chungcheongbuk-do;
Gastrectomy*;
Gastric Emptying*;
Gastroparesis;
Humans;
Multivariate Analysis;
Postoperative Period;
Quality of Life;
Risk Factors;
Stomach Neoplasms
- From:Annals of Surgical Treatment and Research
2017;93(6):310-315
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: Gastric emptying may influence the quality of life of patients who undergo distal gastrectomy. Little is known, however, about gastric emptying after distal gastrectomy. The aim of our study was to investigate gastric emptying patterns after distal gastrectomy. METHODS: This gastric-emptying study investigated patients who underwent distal gastrectomy in the 6 months or more before May 2008 to July 2013 at Chungbuk National University Hospital with a study sample of 205 patients. We analyzed patterns of gastric emptying. RESULTS: Delayed gastric emptying was found in 109 of the 205 patients (53.2%). Food stasis was more frequent in a group with delayed gastric emptying. In multivariate analysis, risk factors for gastroparesis were laparoscopic operation (hazard ratio [HR], 2.731; P = 0.008) and duration of less than 24 months after distal gastrectomy (HR, 2.795; P = 0.001). Delayed gastric emptying tended to decrease with duration of the postoperative period. CONCLUSION: Delayed gastric emptying is common in distal gastrectomy, and is related to laparoscopic operation and duration of the postoperative period. Food stasis was more frequent in a group with delayed gastric emptying.
