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World Journal of Surgery

Published in:

01-02-2009

Effect of Rikkunshito, a Chinese Herbal Medicine, on Stasis in Patients After Pylorus-Preserving Gastrectomy

Authors: Tsuyoshi Takahashi, Shunji Endo, Kiyokazu Nakajima, Yoshihito Souma, Toshirou Nishida

Published in: World Journal of Surgery | Issue 2/2009

Abstract

Background

Distal gastrectomy (DG) and pylorus-preserving gastrectomy (PPG) have been employed for gastric cancer, with PPG having been reported to be superior to DG in regard to postoperative quality of life. Some patients with these operations still suffer from gastric stasis, however. In this study, we aimed to examine the clinical effects of rikkunshito on patients who were to undergo PPG.

Methods

A total of 11 patients who were scheduled to undergo PPG for early gastric cancer at the Osaka University Hospital were enrolled. The patients were randomly assigned to the crossover study with and without rikkunshito 7.5 g/day. Questionnaires and emptying tests using ¹¹¹In-labeled liquid scintigraphy and ^99mTc-labeled solid scintigraphy were performed at the end of each treatment period.

Results

Stasis-related symptoms were significantly reduced during rikkunshito treatment (p = 0.043). The emptying test showed that rikkunshito improved emptying of solid meals (p = 0.0003) from the remnant stomach but did not accelerate gastric empting of liquid meals.

Conclusions

Rikkunshito improved gastric emptying and ameliorated postoperative symptoms of patients who had undergone a PPG.

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Title: Effect of Rikkunshito, a Chinese Herbal Medicine, on Stasis in Patients After Pylorus-Preserving Gastrectomy
Authors: Tsuyoshi Takahashi
Shunji Endo
Kiyokazu Nakajima
Yoshihito Souma
Toshirou Nishida
Publication date: 01-02-2009
Publisher: Springer-Verlag
Published in: World Journal of Surgery / Issue 2/2009
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI: https://doi.org/10.1007/s00268-008-9854-8

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Effect of Rikkunshito, a Chinese Herbal Medicine, on Stasis in Patients After Pylorus-Preserving Gastrectomy

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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