Risk Factors for Food Residue after Distal Gastrectomy and a New Effective Preparation for Endoscopy: The Water-Intake Method.
- Author:
Sung Bum CHO
1
;
Kyoung Won YOON
;
Seon Young PARK
;
Wan Sik LEE
;
Chang Hwan PARK
;
Young Eun JOO
;
Hyun Soo KIM
;
Sung Kyu CHOI
;
Jong Sun REW
Author Information
1. Department of Internal Medicine, Chonnam National University Medical School, Gwangju, Korea. jsrew@chonnam.ac.kr
- Publication Type:Original Article ; Randomized Controlled Trial
- Keywords:
Stomach neoplasms;
Distal gastrectomy;
Endoscopy;
Food residue
- MeSH:
Body Mass Index;
Cohort Studies;
Diabetes Mellitus;
Drinking;
Endoscopy;
Fasting;
Follow-Up Studies;
Gastrectomy;
Gastric Stump;
Humans;
Incidence;
Laparoscopy;
Prospective Studies;
Risk Factors;
Stomach Neoplasms
- From:Gut and Liver
2009;3(3):186-191
- CountryRepublic of Korea
- Language:English
-
Abstract:
BACKGROUND/AIMS: Food residue is frequently observed in the gastric remnant after distal gastrectomy, despite adequate preparation. We devised a water-intake method to reduce food residue in the gastric remnant by drinking large quantities of water in a short time. The aims of this study were to identify the risk factors for food residue and to study the effectiveness of this new method for endoscopy preparation. METHODS: A cohort of 708 patients who underwent distal gastrectomy for gastric cancer was reviewed prospectively. Sixty patients with large amounts of food residue were randomly divided into two groups: a water-intake group (n=40) and a prolonged fasting group (n=20). RESULTS: The incidences of a large amount of food residue were 15.7%, 5.8%, 7.5%, and 2.8% at 3, 12, 24, and 36 months, respectively, after distal gastrectomy. Independent risk factors for food residue were endoscopy at 3 months, diabetes mellitus, a body mass index of <19.5, and laparoscopic surgery. The proportion of successful preparations at follow-up endoscopy was higher for the water-intake group (70%) than for the prolonged fasting group (40%, p=0.025). CONCLUSIONS: The water-intake method can be recommended as a preparation for endoscopy in patients who have had repetitive food residue or risk factors after distal gastrectomy.
