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KMID : 0371320000580020238
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Journal of the Korean Surgical Society
2000 Volume.58 No. 2 p.238 ~ p.244
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Pylorus-Preserving Gastrectomy for Early Gastric Cancer
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Shin Yeon-Myeong
Choi Kyung-Hyun
Lee Sung-Do
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Abstract
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Background :The physical results after a pylorus-preserving gastrectomy (PPG) for early gastric cancer were evluated.
Methods :From August 1996 to March 1998, sixteen (16) patients underwent a PPG, and 17 patients underwent a conventional distal gastrectomy with Billroth I anastomosis (DG). The patients undergoing the PPG and theDG procedures were assessed for 1 year following their surgical procedure. Changes in body weight, food intake volume, and abdominal symptoms, which were determined from questionaires, gastric-emptying tests using the acetaminophen method, and gastroscopic findings, were compared between the two groups.
Results :There were no significant differences in the body weight ratio and the amount of food taken in a meal between the two groups. Patients who had a PPG had fewer postoperative abdominal symptoms than those who underwent a DG. After a DG, emptying was much more rapid. Gastroscopy revealed that the mucosa of the stomach remnant after a PPG was less abnormal than it was after a DG, but food stasis was more frequent after a PPG.
Conclusion :A PPG is a more physiological operation than a conventional DG and should be used in carefully selected patient with early gastric cancer to improve their quality of life.
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KEYWORD
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Early gastric cancer, Pylorus-preserving gastrectomy,
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