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Surgery Today
Published in: Surgery Today 9/2019

01-09-2019 | Esophagojejunostomy | Original Article

Preservation of physiological passage through the remnant stomach prevents postoperative malnutrition after proximal gastrectomy with double tract reconstruction

Authors: Kohei Yamashita, Masaaki Iwatsuki, Yuki Koga, Tasuku Toihata, Yuki Kiyozumi, Daisuke Kuroda, Kojiro Eto, Yukiharu Hiyoshi, Shiro Iwagami, Yoshifumi Baba, Yuji Miyamoto, Naoya Yoshida, Hideo Baba

Published in: Surgery Today | Issue 9/2019

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Abstract

Purpose

Double tract reconstruction (DT) after proximal gastrectomy (PG) is considered beneficial for postoperative nutrition status by preserving the physiological passage of food. We conducted this study to assess postoperative nutrition status based on food passage after this operation.

Methods

The subjects of this retrospective study were 63 patients who underwent PG with DT. The patients were divided into two groups according to whether they had postoperative malnutrition (PM) 1 year postoperatively (PM group) or not (non-PM group). PM was defined by both weight loss > 10% and a low body mass index of < 20 or < 22 kg/m2 for patients younger and older than 70 years, respectively. We then evaluated the predictors of PM.

Results

There were 33 patients in the PM group. These patients were predominantly female (p < 0.01) and lacked physiological passage through the remnant stomach (PRS) on postoperative fluoroscopy (defined as non-PRS, p = 0.03). Multivariate logistic regression analysis revealed that female gender and non-PRS status were independent predictors of PM (odds ratio [95% CI]; 7.42 [1.33–41.4]; p = 0.02, 6.77 [1.01–45.4]; p = 0.04, respectively).

Conclusion

Preservation of the physiological passage of food through the remnant stomach prevents PM after PG with DT.
Appendix
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Metadata
Title
Preservation of physiological passage through the remnant stomach prevents postoperative malnutrition after proximal gastrectomy with double tract reconstruction
Authors
Kohei Yamashita
Masaaki Iwatsuki
Yuki Koga
Tasuku Toihata
Yuki Kiyozumi
Daisuke Kuroda
Kojiro Eto
Yukiharu Hiyoshi
Shiro Iwagami
Yoshifumi Baba
Yuji Miyamoto
Naoya Yoshida
Hideo Baba
Publication date
01-09-2019
Publisher
Springer Singapore
Published in
Surgery Today / Issue 9/2019
Print ISSN: 0941-1291
Electronic ISSN: 1436-2813
DOI
https://doi.org/10.1007/s00595-019-01799-5

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