Clinical Significance of a Pylorus-preserving Gastrectomy for Early Gastric Cancer.
10.5230/jkgca.2006.6.1.11
- Author:
U Min CHU
1
;
Kyoung Won SEO
;
Hyoung Soo KIM
;
Jai Kyun JOO
;
Young Kyu PARK
;
Seong Yeob RYU
;
Hyeong Rok KIM
;
Dong Yi KIM
;
Young Jin KIM
;
Shin Kon KIM
Author Information
1. Department of Surgery, Chonnam National University School of Medicine, Gwangju, Korea. kimyjin@chonnam.ac.kr
- Publication Type:Original Article
- Keywords:
Early gastric cancer;
Pylorus preserving gastrectomy (PPG);
Subtotal gastrectomy with gastroduodenal anastomosis (B-I);
Reflux gastritis and esophagitis
- MeSH:
Esophagitis;
Gastrectomy*;
Gastritis;
Humans;
Jeollanam-do;
Life Expectancy;
Quality of Life;
Stomach Neoplasms*;
Survival Rate
- From:Journal of the Korean Gastric Cancer Association
2006;6(1):11-17
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: The five-year survival rate is over 95% for radically resected early gastric cancer. The development of diagnostic techniques enables early detection of gastric cancer, so the life expectancy of patients with early gastric cancer is prolonged. Therefore, a limited number of surgeries are performed these days for the purpose of increasing the quality of life. The purpose of this study is to assess the postoperative quality of life after a pylorus-preserving gastrectomy (PPG) compared with that after a subtotal gastrectomy with gastroduodenal anastomosis (B-I). MATERIALS AND METHODS: One hundred seven (107) patients who underwent gastric surgery for early gastric cancer from January 1999 to December 2003 at the Department of Surgery of Chonnam National University Hospital were selected. We compared patients who underwent a PPG with those who underwent a B-I. The clinical results were compared by using the chi-square test and the Student's T-test. The data were considered to be significant when the P value was less than 0.05. RESULTS: Twenty-nine patients (29) underwent a PPG, and the other seventy-eight (78) patients underwent a B-I. There was no significant difference between the two groups on sex, age, and postoperative abdominal symptoms. The patients who underwent a PPG showed shorter operation times and less reflux gastritis and esophagitis on endoscopic evaluation than the patients who underwent a B-I. CONCLUSION: The pylorus-preserving gastrectomy (PPG) is a more physiologic operation than the subtotal gastrectomy with gastroduodenal anastomosis (B-I) and improves the postoperative quality of life.
