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01-07-2006

Assessment of the Preserved Function of the Remnant Stomach in Pylorus-preserving Gastrectomy by Gastric Emptying Scintigraphy

Authors: Taku Michiura, MD, Yasushi Nakane, MD, Tatsuya Kanbara, MD, Koji Nakai, MD, Kentaro Inoue, MD, Keigo Yamamichi, MD, Yasuo Kamiyama, MD

Published in: World Journal of Surgery | Issue 7/2006

Abstract

Background

This study evaluated the preserved function of the remnant stomach by gastric emptying scintigraphy in patients who underwent pylorus-preserving gastrectomy (PPG), and it investigated whether this examination method is a useful tool for evaluation.

Materials and Methods

The residual stomach function was evaluated by gastric emptying scintigraphy in 45 patients with early gastric cancer who had undergone PPG. Function was classified as rapid, intermediate, and delayed emptying types according to gastric emptying curves. Then, the relationships were examined between the gastric emptying types and postprandial symptoms, food intake status, body weight changes, and endoscopic findings.

Results

Seventy-three percent of the PPG patients were classified as belonging to the intermediate emptying type, and the remainder to the delayed emptying type. The frequencies of complaints such as epigastric fullness, nausea, and vomiting were high in the delayed emptying-type patients. The intermediate emptying-type patients consumed larger amounts of food and gained more weight than the delayed emptying-type patients. It was difficult to estimate gastric emptying function from endoscopic findings.

Conclusions

Gastric function was evaluated by gastric emptying scintigraphy in PPG patients. This method might be useful not only for evaluating the motor function of the remnant stomach, but also for predicting postoperative status.

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Title: Assessment of the Preserved Function of the Remnant Stomach in Pylorus-preserving Gastrectomy by Gastric Emptying Scintigraphy
Authors: Taku Michiura, MD
Yasushi Nakane, MD
Tatsuya Kanbara, MD
Koji Nakai, MD
Kentaro Inoue, MD
Keigo Yamamichi, MD
Yasuo Kamiyama, MD
Publication date: 01-07-2006
Publisher: Springer-Verlag
Published in: World Journal of Surgery / Issue 7/2006
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI: https://doi.org/10.1007/s00268-005-7983-x

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Assessment of the Preserved Function of the Remnant Stomach in Pylorus-preserving Gastrectomy by Gastric Emptying Scintigraphy

Abstract

Background

Materials and Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Materials and Methods

Results

Conclusions

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