The influence of reconstruction methods on food retention phenomenon in the remnant stomach after a subtotal gastrectomy.

Abstract

BACKGROUND AND OBJECTIVES:

Food retention and bile reflux has been frequently observed in gastric cancer patients following a subtotal gastrectomy. The aim of this study was to determine whether reconstruction methods after the distal subtotal gastrectomy influenced the degree of food residue and bile reflux.

METHODS:

The prospectively collected data was reviewed retrospectively for 522 patients with early gastric cancer who had undertaken a follow-up endoscopic examination after a distal subtotal gastrectomy between 2003 and 2006.

RESULTS:

The incidence of food retention was 55.5%, 31.9%, and 20.9% at 3, 12, and 24 months after distal subtotal gastrectomy, respectively. The food residue score was higher in the Billroth I (stapling) group than the Billroth II (hand sewing) group at 3 months after surgery (P = 0.006). The incidence of bile reflux was higher in the Billroth II group than in the Billroth I group at 12 and 24 months after surgery (P < 0.001, P = 0.002, respectively). No significant association was found between the food retention and body weight changes.

CONCLUSIONS:

Food retention was detected in lots of patients after subtotal gastrectomy and the reconstructive methods after subtotal gastrectomy was not relevant to food retention.

• Authors: Hyung Joong Jung, Jun Ho Lee, Keun Won Ryu, Jong Yeul Lee, Chan Gyoo Kim, Il Ju Choi, Young-Woo Kim, Jae Moon Bae
• Journal: Journal of surgical oncology (J Surg Oncol) Vol. 98 Issue 1 Pg. 11-4 (Jul 01 2008) ISSN: 1096-9098 [Electronic] United States
• PMID: 18461561 (Publication Type: Journal Article)

Topics

• Adult
• Aged
• Aged, 80 and over
• Bile Reflux (etiology, physiopathology)
• Female
• Gastrectomy (adverse effects, methods)
• Gastric Emptying
• Gastric Stump (physiopathology)
• Humans
• Male
• Middle Aged
• Postgastrectomy Syndromes (etiology, physiopathology, prevention & control)
• Retrospective Studies
• Stomach Neoplasms (surgery)
• Sutures