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01-12-2010 | Original Article

Nutritional Assessment of Patients After Pylorus-Preserving Gastrectomy for Early Gastric Cancer

Authors: Masahide Ikeguchi, Hirohiko Kuroda, Kyouichi Kihara, Tomoko Hatata, Tomoyuki Matsunaga, Kenji Fukuda, Hiroaki Saito, Shigeru Tatebe

Published in: Indian Journal of Surgery | Issue 6/2010

Abstract

The aim of this study was to evaluate the nutritional advantages of pylorus-preserving gastrectomy (PPG) in comparison with distal gastrectomy with Billroth I anastomosis (DG) in early gastric cancer (EGC). Between 2005 and 2007, 24 patients underwent PPG and 30 underwent DG. Subjective global assessment, objective data assessment, and endoscopic findings of the remnant stomach were compared between the two groups. Two years after surgery, the patients’ body weights recovered to 97% in PPG, but they continued to decrease in DG. Postoperative blood lymphocyte counts remained low in DG, but recovered to preoperative levels 6 months after surgery in PPG. Food residue in the gastric remnant was frequently observed in PPG (71.4%) than in DG (15.8%, P = 0.001). In nutritional aspect, PPG may be a more ideal operation than DG. However, food residue in the gastric remnant should be considered in PPG.

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Title: Nutritional Assessment of Patients After Pylorus-Preserving Gastrectomy for Early Gastric Cancer
Authors: Masahide Ikeguchi
Hirohiko Kuroda
Kyouichi Kihara
Tomoko Hatata
Tomoyuki Matsunaga
Kenji Fukuda
Hiroaki Saito
Shigeru Tatebe
Publication date: 01-12-2010
Publisher: Springer-Verlag
Published in: Indian Journal of Surgery / Issue 6/2010
Print ISSN: 0972-2068
Electronic ISSN: 0973-9793
DOI: https://doi.org/10.1007/s12262-010-0167-4

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Nutritional Assessment of Patients After Pylorus-Preserving Gastrectomy for Early Gastric Cancer

Abstract

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Abstract

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