Restoration of gastrointestinal motility ameliorates nutritional deficiencies and body weight loss of patients who undergo laparoscopy-assisted proximal gastrectomy
Background Esophagogastrostomy after proximal gastrectomy (PG) is a simple and safe reconstruction, but it leads to a high incidence of reflux esophagitis and impairs postoperative quality of life. We have already reported gastric tube (GT) reconstruction after PG and performed it on more than 100 p...
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| Veröffentlicht in: | Surgical endoscopy 2017-03, Vol.31 (3), p.1393-1401 |
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| creator | Toyomasu, Yoshitaka Ogata, Kyoichi Suzuki, Masaki Yanoma, Toru Kimura, Akiharu Kogure, Norimichi Yanai, Mitsuhiro Ohno, Tetsuro Mochiki, Erito Kuwano, Hiroyuki |
| description | Background
Esophagogastrostomy after proximal gastrectomy (PG) is a simple and safe reconstruction, but it leads to a high incidence of reflux esophagitis and impairs postoperative quality of life. We have already reported gastric tube (GT) reconstruction after PG and performed it on more than 100 patients. No studies have reported long-term outcomes after PG–GT. The aim of this study was to investigate long-term outcomes, including nutrition indices, such as body weight, serum albumin, total protein, hemoglobin, and ferritin after PG, and observe recovery of upper gastrointestinal tract motility.
Methods
We analyzed body weight loss and laboratory findings at our outpatient clinic at 1, 6, 12, 24, 36, 48, and 60 months postoperatively. Manometric recording was carried out at 1, 2, 3, 4, and 5 years after surgery.
Results
The percentage change in body weight in the PG–GT group was significantly larger than that in the PG–JI and TG–RY groups at 2.5, 3, 4, and 5 years after surgery. The levels of hemoglobin and ferritin in the PG–GT and PG–JI groups were significantly higher than those in the TG–RY group at all time points except 6 months after surgery. In the fasted state, the phase III originated at the gastric tube was propagated to the duodenum 3 years after surgery. In the fed state, phasic contractions of the duodenum were in harmony with gastric tube contractions 3 years after surgery.
Conclusions
PG–GT is the least invasive procedure, and restoration of gastrointestinal motilities in the gastric tube and duodenum may ameliorate body weight loss and nutritional status, including anemia, in patients after PG. |
| doi_str_mv | 10.1007/s00464-016-5127-z |
| format | Article |
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Esophagogastrostomy after proximal gastrectomy (PG) is a simple and safe reconstruction, but it leads to a high incidence of reflux esophagitis and impairs postoperative quality of life. We have already reported gastric tube (GT) reconstruction after PG and performed it on more than 100 patients. No studies have reported long-term outcomes after PG–GT. The aim of this study was to investigate long-term outcomes, including nutrition indices, such as body weight, serum albumin, total protein, hemoglobin, and ferritin after PG, and observe recovery of upper gastrointestinal tract motility.
Methods
We analyzed body weight loss and laboratory findings at our outpatient clinic at 1, 6, 12, 24, 36, 48, and 60 months postoperatively. Manometric recording was carried out at 1, 2, 3, 4, and 5 years after surgery.
Results
The percentage change in body weight in the PG–GT group was significantly larger than that in the PG–JI and TG–RY groups at 2.5, 3, 4, and 5 years after surgery. The levels of hemoglobin and ferritin in the PG–GT and PG–JI groups were significantly higher than those in the TG–RY group at all time points except 6 months after surgery. In the fasted state, the phase III originated at the gastric tube was propagated to the duodenum 3 years after surgery. In the fed state, phasic contractions of the duodenum were in harmony with gastric tube contractions 3 years after surgery.
Conclusions
PG–GT is the least invasive procedure, and restoration of gastrointestinal motilities in the gastric tube and duodenum may ameliorate body weight loss and nutritional status, including anemia, in patients after PG.</description><identifier>ISSN: 0930-2794</identifier><identifier>EISSN: 1432-2218</identifier><identifier>DOI: 10.1007/s00464-016-5127-z</identifier><identifier>PMID: 27444825</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Abdominal Surgery ; Adenocarcinoma - surgery ; Aged ; Anemia - etiology ; Anemia - prevention & control ; Esophagostomy ; Esophagus ; Female ; Ferritins - blood ; Gastrectomy - adverse effects ; Gastrectomy - methods ; Gastric cancer ; Gastroenterology ; Gastrointestinal Motility ; Gastrointestinal surgery ; Gastrostomy ; Gynecology ; Hemoglobin ; Hemoglobins - analysis ; Hepatology ; Hospitals ; Humans ; Laparoscopy ; Male ; Medical prognosis ; Medicine ; Medicine & Public Health ; Middle Aged ; Motility ; Nutrition ; Nutritional status ; Outpatient care facilities ; Proctology ; Proteins ; Quality of life ; Small intestine ; Stomach Neoplasms - surgery ; Surgery ; Weight Loss</subject><ispartof>Surgical endoscopy, 2017-03, Vol.31 (3), p.1393-1401</ispartof><rights>Springer Science+Business Media New York 2016</rights><rights>Surgical Endoscopy is a copyright of Springer, 2017.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c471t-adf9b357fdbf54330f8d7d3aa18aa1bc45a8c15ebfe9dd60bc880cd47ac90e1a3</citedby><cites>FETCH-LOGICAL-c471t-adf9b357fdbf54330f8d7d3aa18aa1bc45a8c15ebfe9dd60bc880cd47ac90e1a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00464-016-5127-z$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00464-016-5127-z$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27444825$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Toyomasu, Yoshitaka</creatorcontrib><creatorcontrib>Ogata, Kyoichi</creatorcontrib><creatorcontrib>Suzuki, Masaki</creatorcontrib><creatorcontrib>Yanoma, Toru</creatorcontrib><creatorcontrib>Kimura, Akiharu</creatorcontrib><creatorcontrib>Kogure, Norimichi</creatorcontrib><creatorcontrib>Yanai, Mitsuhiro</creatorcontrib><creatorcontrib>Ohno, Tetsuro</creatorcontrib><creatorcontrib>Mochiki, Erito</creatorcontrib><creatorcontrib>Kuwano, Hiroyuki</creatorcontrib><title>Restoration of gastrointestinal motility ameliorates nutritional deficiencies and body weight loss of patients who undergo laparoscopy-assisted proximal gastrectomy</title><title>Surgical endoscopy</title><addtitle>Surg Endosc</addtitle><addtitle>Surg Endosc</addtitle><description>Background
Esophagogastrostomy after proximal gastrectomy (PG) is a simple and safe reconstruction, but it leads to a high incidence of reflux esophagitis and impairs postoperative quality of life. We have already reported gastric tube (GT) reconstruction after PG and performed it on more than 100 patients. No studies have reported long-term outcomes after PG–GT. The aim of this study was to investigate long-term outcomes, including nutrition indices, such as body weight, serum albumin, total protein, hemoglobin, and ferritin after PG, and observe recovery of upper gastrointestinal tract motility.
Methods
We analyzed body weight loss and laboratory findings at our outpatient clinic at 1, 6, 12, 24, 36, 48, and 60 months postoperatively. Manometric recording was carried out at 1, 2, 3, 4, and 5 years after surgery.
Results
The percentage change in body weight in the PG–GT group was significantly larger than that in the PG–JI and TG–RY groups at 2.5, 3, 4, and 5 years after surgery. The levels of hemoglobin and ferritin in the PG–GT and PG–JI groups were significantly higher than those in the TG–RY group at all time points except 6 months after surgery. In the fasted state, the phase III originated at the gastric tube was propagated to the duodenum 3 years after surgery. In the fed state, phasic contractions of the duodenum were in harmony with gastric tube contractions 3 years after surgery.
Conclusions
PG–GT is the least invasive procedure, and restoration of gastrointestinal motilities in the gastric tube and duodenum may ameliorate body weight loss and nutritional status, including anemia, in patients after PG.</description><subject>Abdominal Surgery</subject><subject>Adenocarcinoma - surgery</subject><subject>Aged</subject><subject>Anemia - etiology</subject><subject>Anemia - prevention & control</subject><subject>Esophagostomy</subject><subject>Esophagus</subject><subject>Female</subject><subject>Ferritins - blood</subject><subject>Gastrectomy - adverse effects</subject><subject>Gastrectomy - methods</subject><subject>Gastric cancer</subject><subject>Gastroenterology</subject><subject>Gastrointestinal Motility</subject><subject>Gastrointestinal surgery</subject><subject>Gastrostomy</subject><subject>Gynecology</subject><subject>Hemoglobin</subject><subject>Hemoglobins - analysis</subject><subject>Hepatology</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Laparoscopy</subject><subject>Male</subject><subject>Medical prognosis</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Motility</subject><subject>Nutrition</subject><subject>Nutritional status</subject><subject>Outpatient care facilities</subject><subject>Proctology</subject><subject>Proteins</subject><subject>Quality of life</subject><subject>Small intestine</subject><subject>Stomach Neoplasms - surgery</subject><subject>Surgery</subject><subject>Weight Loss</subject><issn>0930-2794</issn><issn>1432-2218</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqNkd2K1TAUhYMoznH0AbyRgDfeRPPXJr2UwT8YEESvS5rsnsnQJjVJGTvP44OaekYRQZCwCSTfXnuzFkJPGX3JKFWvMqWylYSyljSMK3J7Dx2YFJxwzvR9dKCdoISrTp6hRzlf04p3rHmIzriSUmreHND3T5BLTKb4GHAc8dHkkqIPpT77YCY8x-InXzZsZpj8TkLGYS3J7y0VcDB66yHUytgEh4foNnwD_nhV8BRz3mWXOgBCyfjmKuI1OEjHiCezmBSzjctGTM4-F3B4SfGbn6vuz03Aljhvj9GD0UwZntzd5-jL2zefL96Ty4_vPly8viRWKlaIcWM3iEaNbhgbKQQdtVNOGMN0rcHKxmjLGhhG6Jxr6WC1ptZJZWxHgRlxjl6cdOsSX9fqQD_7bGGaTIC45p7pTgndKs3_A-WtEkILWtHnf6HXcU3Vup1qO9nxeirFTpStluQEY7-k6kPaekb7Pe3-lHZf0-73tPvb2vPsTnkdZnC_O37FWwF-AnL9CkdIf4z-p-oP5NG8MQ</recordid><startdate>20170301</startdate><enddate>20170301</enddate><creator>Toyomasu, Yoshitaka</creator><creator>Ogata, Kyoichi</creator><creator>Suzuki, Masaki</creator><creator>Yanoma, Toru</creator><creator>Kimura, Akiharu</creator><creator>Kogure, Norimichi</creator><creator>Yanai, Mitsuhiro</creator><creator>Ohno, Tetsuro</creator><creator>Mochiki, Erito</creator><creator>Kuwano, Hiroyuki</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>7TS</scope></search><sort><creationdate>20170301</creationdate><title>Restoration of gastrointestinal motility ameliorates nutritional deficiencies and body weight loss of patients who undergo laparoscopy-assisted proximal gastrectomy</title><author>Toyomasu, Yoshitaka ; Ogata, Kyoichi ; Suzuki, Masaki ; Yanoma, Toru ; Kimura, Akiharu ; Kogure, Norimichi ; Yanai, Mitsuhiro ; Ohno, Tetsuro ; Mochiki, Erito ; Kuwano, Hiroyuki</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c471t-adf9b357fdbf54330f8d7d3aa18aa1bc45a8c15ebfe9dd60bc880cd47ac90e1a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Abdominal Surgery</topic><topic>Adenocarcinoma - surgery</topic><topic>Aged</topic><topic>Anemia - etiology</topic><topic>Anemia - prevention & control</topic><topic>Esophagostomy</topic><topic>Esophagus</topic><topic>Female</topic><topic>Ferritins - blood</topic><topic>Gastrectomy - adverse effects</topic><topic>Gastrectomy - methods</topic><topic>Gastric cancer</topic><topic>Gastroenterology</topic><topic>Gastrointestinal Motility</topic><topic>Gastrointestinal surgery</topic><topic>Gastrostomy</topic><topic>Gynecology</topic><topic>Hemoglobin</topic><topic>Hemoglobins - analysis</topic><topic>Hepatology</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Laparoscopy</topic><topic>Male</topic><topic>Medical prognosis</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Motility</topic><topic>Nutrition</topic><topic>Nutritional status</topic><topic>Outpatient care facilities</topic><topic>Proctology</topic><topic>Proteins</topic><topic>Quality of life</topic><topic>Small intestine</topic><topic>Stomach Neoplasms - surgery</topic><topic>Surgery</topic><topic>Weight Loss</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Toyomasu, Yoshitaka</creatorcontrib><creatorcontrib>Ogata, Kyoichi</creatorcontrib><creatorcontrib>Suzuki, Masaki</creatorcontrib><creatorcontrib>Yanoma, Toru</creatorcontrib><creatorcontrib>Kimura, Akiharu</creatorcontrib><creatorcontrib>Kogure, Norimichi</creatorcontrib><creatorcontrib>Yanai, Mitsuhiro</creatorcontrib><creatorcontrib>Ohno, Tetsuro</creatorcontrib><creatorcontrib>Mochiki, Erito</creatorcontrib><creatorcontrib>Kuwano, Hiroyuki</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>Physical Education Index</collection><jtitle>Surgical endoscopy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Toyomasu, Yoshitaka</au><au>Ogata, Kyoichi</au><au>Suzuki, Masaki</au><au>Yanoma, Toru</au><au>Kimura, Akiharu</au><au>Kogure, Norimichi</au><au>Yanai, Mitsuhiro</au><au>Ohno, Tetsuro</au><au>Mochiki, Erito</au><au>Kuwano, Hiroyuki</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Restoration of gastrointestinal motility ameliorates nutritional deficiencies and body weight loss of patients who undergo laparoscopy-assisted proximal gastrectomy</atitle><jtitle>Surgical endoscopy</jtitle><stitle>Surg Endosc</stitle><addtitle>Surg Endosc</addtitle><date>2017-03-01</date><risdate>2017</risdate><volume>31</volume><issue>3</issue><spage>1393</spage><epage>1401</epage><pages>1393-1401</pages><issn>0930-2794</issn><eissn>1432-2218</eissn><abstract>Background
Esophagogastrostomy after proximal gastrectomy (PG) is a simple and safe reconstruction, but it leads to a high incidence of reflux esophagitis and impairs postoperative quality of life. We have already reported gastric tube (GT) reconstruction after PG and performed it on more than 100 patients. No studies have reported long-term outcomes after PG–GT. The aim of this study was to investigate long-term outcomes, including nutrition indices, such as body weight, serum albumin, total protein, hemoglobin, and ferritin after PG, and observe recovery of upper gastrointestinal tract motility.
Methods
We analyzed body weight loss and laboratory findings at our outpatient clinic at 1, 6, 12, 24, 36, 48, and 60 months postoperatively. Manometric recording was carried out at 1, 2, 3, 4, and 5 years after surgery.
Results
The percentage change in body weight in the PG–GT group was significantly larger than that in the PG–JI and TG–RY groups at 2.5, 3, 4, and 5 years after surgery. The levels of hemoglobin and ferritin in the PG–GT and PG–JI groups were significantly higher than those in the TG–RY group at all time points except 6 months after surgery. In the fasted state, the phase III originated at the gastric tube was propagated to the duodenum 3 years after surgery. In the fed state, phasic contractions of the duodenum were in harmony with gastric tube contractions 3 years after surgery.
Conclusions
PG–GT is the least invasive procedure, and restoration of gastrointestinal motilities in the gastric tube and duodenum may ameliorate body weight loss and nutritional status, including anemia, in patients after PG.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>27444825</pmid><doi>10.1007/s00464-016-5127-z</doi><tpages>9</tpages></addata></record> |
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| subjects | Abdominal Surgery Adenocarcinoma - surgery Aged Anemia - etiology Anemia - prevention & control Esophagostomy Esophagus Female Ferritins - blood Gastrectomy - adverse effects Gastrectomy - methods Gastric cancer Gastroenterology Gastrointestinal Motility Gastrointestinal surgery Gastrostomy Gynecology Hemoglobin Hemoglobins - analysis Hepatology Hospitals Humans Laparoscopy Male Medical prognosis Medicine Medicine & Public Health Middle Aged Motility Nutrition Nutritional status Outpatient care facilities Proctology Proteins Quality of life Small intestine Stomach Neoplasms - surgery Surgery Weight Loss |
| title | Restoration of gastrointestinal motility ameliorates nutritional deficiencies and body weight loss of patients who undergo laparoscopy-assisted proximal gastrectomy |
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