Optimal Procedures for Double Tract Reconstruction After Proximal Gastrectomy Assessed by Postgastrectomy Syndrome Assessment Scale-45
Background Although double tract reconstruction after proximal gastrectomy (PGDT) is commonly performed for proximal gastric or esophagogastric junction cancer, the impact of the procedure on postoperative quality of life (QOL) has not been clarified. We aimed to clarify the optimal PGDT procedure i...
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| Veröffentlicht in: | Journal of gastrointestinal surgery 2022-09, Vol.26 (9), p.1817-1829 |
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| creator | Kamiya, Satoshi Namikawa, Tsutomu Takahashi, Masazumi Hasegawa, Yasuhiro Ikeda, Masami Kinami, Shinichi Isozaki, Hiroshi Takeuchi, Hiroya Oshio, Atsushi Nakada, Koji |
| description | Background
Although double tract reconstruction after proximal gastrectomy (PGDT) is commonly performed for proximal gastric or esophagogastric junction cancer, the impact of the procedure on postoperative quality of life (QOL) has not been clarified. We aimed to clarify the optimal PGDT procedure in terms of postoperative QOL.
Methods
Postoperative QOL was analyzed in 172 patients who underwent PGDT for proximal gastric cancer and were enrolled in the PGSAS-NEXT study, a multicenter cross-sectional study in Japan (UMIN000032221), in relation to the remnant stomach size, length of interposed jejunum between the esophagojejunostomy (E-J) and jejunogastrostomy (J-G), and size of the J-G.
Results
The remnant stomach size was approximately one-third in 13, half in 97, and two-thirds in 60 patients. Dissatisfaction scores for symptoms, diet, work, and daily life subscales were lower in patients with a larger stomach (
p
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| doi_str_mv | 10.1007/s11605-022-05328-7 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2661087594</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2715913631</sourcerecordid><originalsourceid>FETCH-LOGICAL-c441t-d9c05ff29c8270731cfe1bb1847847fcd9d16bc36f6036e62fe67d23606e0fb23</originalsourceid><addsrcrecordid>eNp9kUFrFTEUhQdRbK3-ARcScOMm9t5kkswsH61WodBiK7gLM5mb8srM5JlkwPcH_N2mfU9buhAuJHC-c27Iqaq3CB8RwBwnRA2KgxAclBQNN8-qQ2yM5LUW-nm5Q4tcKPXjoHqV0i0AGsDmZXUglRI1mOaw-n2xyeupG9llDI6GJVJiPkR2GpZ-JHYdO5fZN3JhTjkuLq_DzFY-U7wz_Lp3nnVFIpfDtGWrlKjMwPotuwwp3zzSrrbzEMNEe2iiObMr143Ea_W6euG7MdGb_XlUff_86frkCz-_OPt6sjrnrq4x86F1oLwXrWuEASPRecK-x6Y2Zbwb2gF176T2GqQmLTxpMwipQRP4Xsij6sMudxPDz4VSttM6ORrHbqawJCu0RmiMauuCvn-C3oYlzuV1VhhULUotsVBiR7kYUork7SaWX4lbi2DvWrK7lmxpyd63ZE0xvdtHL_1Ewz_L31oKIHdAKtJ8Q_Fh939i_wAngp7y</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2715913631</pqid></control><display><type>article</type><title>Optimal Procedures for Double Tract Reconstruction After Proximal Gastrectomy Assessed by Postgastrectomy Syndrome Assessment Scale-45</title><source>MEDLINE</source><source>SpringerLink Journals</source><creator>Kamiya, Satoshi ; Namikawa, Tsutomu ; Takahashi, Masazumi ; Hasegawa, Yasuhiro ; Ikeda, Masami ; Kinami, Shinichi ; Isozaki, Hiroshi ; Takeuchi, Hiroya ; Oshio, Atsushi ; Nakada, Koji</creator><creatorcontrib>Kamiya, Satoshi ; Namikawa, Tsutomu ; Takahashi, Masazumi ; Hasegawa, Yasuhiro ; Ikeda, Masami ; Kinami, Shinichi ; Isozaki, Hiroshi ; Takeuchi, Hiroya ; Oshio, Atsushi ; Nakada, Koji</creatorcontrib><description>Background
Although double tract reconstruction after proximal gastrectomy (PGDT) is commonly performed for proximal gastric or esophagogastric junction cancer, the impact of the procedure on postoperative quality of life (QOL) has not been clarified. We aimed to clarify the optimal PGDT procedure in terms of postoperative QOL.
Methods
Postoperative QOL was analyzed in 172 patients who underwent PGDT for proximal gastric cancer and were enrolled in the PGSAS-NEXT study, a multicenter cross-sectional study in Japan (UMIN000032221), in relation to the remnant stomach size, length of interposed jejunum between the esophagojejunostomy (E-J) and jejunogastrostomy (J-G), and size of the J-G.
Results
The remnant stomach size was approximately one-third in 13, half in 97, and two-thirds in 60 patients. Dissatisfaction scores for symptoms, diet, work, and daily life subscales were lower in patients with a larger stomach (
p
< 0.05). These patients also scored better in terms of weight loss (− 13.5%, − 14.0%, and − 11.2%, respectively) and amount of food ingested per meal (52%, 62%, and 66%). The length of the interposed jejunum was ≤ 10 cm in 62 and ≥ 11 cm in 97 patients. Weight loss (− 11.3% and − 13.8%) and dissatisfaction scores were better in the ≤ 10 cm group (
p
< 0.05). J-G size was ≤ 5 cm in 27 and ≥ 6 cm in 135 patients. The amount of food ingested (56%, 64%) and dissatisfaction scores were better in the > 6 cm group (
p
< 0.05).
Conclusions
Larger remnant stomach, shorter length of interposed jejunum, and longer J-G might contribute to better postoperative QOL after PGDT.</description><identifier>ISSN: 1091-255X</identifier><identifier>EISSN: 1873-4626</identifier><identifier>DOI: 10.1007/s11605-022-05328-7</identifier><identifier>PMID: 35524078</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Abdomen ; Cancer therapies ; Chemotherapy ; Cross-Sectional Studies ; Food ; Gastrectomy - methods ; Gastric cancer ; Gastric Stump - surgery ; Gastroenterology ; Gastrointestinal surgery ; Hospitals ; Humans ; Japan ; Likert scale ; Lymphatic system ; Meals ; Medicine ; Medicine & Public Health ; Original Article ; Patients ; Postgastrectomy Syndromes - diagnosis ; Postgastrectomy Syndromes - surgery ; Quality of Life ; Questionnaires ; Small intestine ; Stomach Neoplasms - surgery ; Surgery ; Weight Loss</subject><ispartof>Journal of gastrointestinal surgery, 2022-09, Vol.26 (9), p.1817-1829</ispartof><rights>The Society for Surgery of the Alimentary Tract 2022</rights><rights>2022. The Society for Surgery of the Alimentary Tract.</rights><rights>The Society for Surgery of the Alimentary Tract 2022.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c441t-d9c05ff29c8270731cfe1bb1847847fcd9d16bc36f6036e62fe67d23606e0fb23</citedby><cites>FETCH-LOGICAL-c441t-d9c05ff29c8270731cfe1bb1847847fcd9d16bc36f6036e62fe67d23606e0fb23</cites><orcidid>0000-0003-1365-1972</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11605-022-05328-7$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11605-022-05328-7$$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/35524078$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kamiya, Satoshi</creatorcontrib><creatorcontrib>Namikawa, Tsutomu</creatorcontrib><creatorcontrib>Takahashi, Masazumi</creatorcontrib><creatorcontrib>Hasegawa, Yasuhiro</creatorcontrib><creatorcontrib>Ikeda, Masami</creatorcontrib><creatorcontrib>Kinami, Shinichi</creatorcontrib><creatorcontrib>Isozaki, Hiroshi</creatorcontrib><creatorcontrib>Takeuchi, Hiroya</creatorcontrib><creatorcontrib>Oshio, Atsushi</creatorcontrib><creatorcontrib>Nakada, Koji</creatorcontrib><title>Optimal Procedures for Double Tract Reconstruction After Proximal Gastrectomy Assessed by Postgastrectomy Syndrome Assessment Scale-45</title><title>Journal of gastrointestinal surgery</title><addtitle>J Gastrointest Surg</addtitle><addtitle>J Gastrointest Surg</addtitle><description>Background
Although double tract reconstruction after proximal gastrectomy (PGDT) is commonly performed for proximal gastric or esophagogastric junction cancer, the impact of the procedure on postoperative quality of life (QOL) has not been clarified. We aimed to clarify the optimal PGDT procedure in terms of postoperative QOL.
Methods
Postoperative QOL was analyzed in 172 patients who underwent PGDT for proximal gastric cancer and were enrolled in the PGSAS-NEXT study, a multicenter cross-sectional study in Japan (UMIN000032221), in relation to the remnant stomach size, length of interposed jejunum between the esophagojejunostomy (E-J) and jejunogastrostomy (J-G), and size of the J-G.
Results
The remnant stomach size was approximately one-third in 13, half in 97, and two-thirds in 60 patients. Dissatisfaction scores for symptoms, diet, work, and daily life subscales were lower in patients with a larger stomach (
p
< 0.05). These patients also scored better in terms of weight loss (− 13.5%, − 14.0%, and − 11.2%, respectively) and amount of food ingested per meal (52%, 62%, and 66%). The length of the interposed jejunum was ≤ 10 cm in 62 and ≥ 11 cm in 97 patients. Weight loss (− 11.3% and − 13.8%) and dissatisfaction scores were better in the ≤ 10 cm group (
p
< 0.05). J-G size was ≤ 5 cm in 27 and ≥ 6 cm in 135 patients. The amount of food ingested (56%, 64%) and dissatisfaction scores were better in the > 6 cm group (
p
< 0.05).
Conclusions
Larger remnant stomach, shorter length of interposed jejunum, and longer J-G might contribute to better postoperative QOL after PGDT.</description><subject>Abdomen</subject><subject>Cancer therapies</subject><subject>Chemotherapy</subject><subject>Cross-Sectional Studies</subject><subject>Food</subject><subject>Gastrectomy - methods</subject><subject>Gastric cancer</subject><subject>Gastric Stump - surgery</subject><subject>Gastroenterology</subject><subject>Gastrointestinal surgery</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Japan</subject><subject>Likert scale</subject><subject>Lymphatic system</subject><subject>Meals</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original Article</subject><subject>Patients</subject><subject>Postgastrectomy Syndromes - diagnosis</subject><subject>Postgastrectomy Syndromes - surgery</subject><subject>Quality of Life</subject><subject>Questionnaires</subject><subject>Small intestine</subject><subject>Stomach Neoplasms - surgery</subject><subject>Surgery</subject><subject>Weight Loss</subject><issn>1091-255X</issn><issn>1873-4626</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp9kUFrFTEUhQdRbK3-ARcScOMm9t5kkswsH61WodBiK7gLM5mb8srM5JlkwPcH_N2mfU9buhAuJHC-c27Iqaq3CB8RwBwnRA2KgxAclBQNN8-qQ2yM5LUW-nm5Q4tcKPXjoHqV0i0AGsDmZXUglRI1mOaw-n2xyeupG9llDI6GJVJiPkR2GpZ-JHYdO5fZN3JhTjkuLq_DzFY-U7wz_Lp3nnVFIpfDtGWrlKjMwPotuwwp3zzSrrbzEMNEe2iiObMr143Ea_W6euG7MdGb_XlUff_86frkCz-_OPt6sjrnrq4x86F1oLwXrWuEASPRecK-x6Y2Zbwb2gF176T2GqQmLTxpMwipQRP4Xsij6sMudxPDz4VSttM6ORrHbqawJCu0RmiMauuCvn-C3oYlzuV1VhhULUotsVBiR7kYUork7SaWX4lbi2DvWrK7lmxpyd63ZE0xvdtHL_1Ewz_L31oKIHdAKtJ8Q_Fh939i_wAngp7y</recordid><startdate>20220901</startdate><enddate>20220901</enddate><creator>Kamiya, Satoshi</creator><creator>Namikawa, Tsutomu</creator><creator>Takahashi, Masazumi</creator><creator>Hasegawa, Yasuhiro</creator><creator>Ikeda, Masami</creator><creator>Kinami, Shinichi</creator><creator>Isozaki, Hiroshi</creator><creator>Takeuchi, Hiroya</creator><creator>Oshio, Atsushi</creator><creator>Nakada, Koji</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>7X8</scope><orcidid>https://orcid.org/0000-0003-1365-1972</orcidid></search><sort><creationdate>20220901</creationdate><title>Optimal Procedures for Double Tract Reconstruction After Proximal Gastrectomy Assessed by Postgastrectomy Syndrome Assessment Scale-45</title><author>Kamiya, Satoshi ; Namikawa, Tsutomu ; Takahashi, Masazumi ; Hasegawa, Yasuhiro ; Ikeda, Masami ; Kinami, Shinichi ; Isozaki, Hiroshi ; Takeuchi, Hiroya ; Oshio, Atsushi ; Nakada, Koji</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c441t-d9c05ff29c8270731cfe1bb1847847fcd9d16bc36f6036e62fe67d23606e0fb23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Abdomen</topic><topic>Cancer therapies</topic><topic>Chemotherapy</topic><topic>Cross-Sectional Studies</topic><topic>Food</topic><topic>Gastrectomy - methods</topic><topic>Gastric cancer</topic><topic>Gastric Stump - surgery</topic><topic>Gastroenterology</topic><topic>Gastrointestinal surgery</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Japan</topic><topic>Likert scale</topic><topic>Lymphatic system</topic><topic>Meals</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original Article</topic><topic>Patients</topic><topic>Postgastrectomy Syndromes - diagnosis</topic><topic>Postgastrectomy Syndromes - surgery</topic><topic>Quality of Life</topic><topic>Questionnaires</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>Kamiya, Satoshi</creatorcontrib><creatorcontrib>Namikawa, Tsutomu</creatorcontrib><creatorcontrib>Takahashi, Masazumi</creatorcontrib><creatorcontrib>Hasegawa, Yasuhiro</creatorcontrib><creatorcontrib>Ikeda, Masami</creatorcontrib><creatorcontrib>Kinami, Shinichi</creatorcontrib><creatorcontrib>Isozaki, Hiroshi</creatorcontrib><creatorcontrib>Takeuchi, Hiroya</creatorcontrib><creatorcontrib>Oshio, Atsushi</creatorcontrib><creatorcontrib>Nakada, Koji</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>MEDLINE - Academic</collection><jtitle>Journal of gastrointestinal surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kamiya, Satoshi</au><au>Namikawa, Tsutomu</au><au>Takahashi, Masazumi</au><au>Hasegawa, Yasuhiro</au><au>Ikeda, Masami</au><au>Kinami, Shinichi</au><au>Isozaki, Hiroshi</au><au>Takeuchi, Hiroya</au><au>Oshio, Atsushi</au><au>Nakada, Koji</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Optimal Procedures for Double Tract Reconstruction After Proximal Gastrectomy Assessed by Postgastrectomy Syndrome Assessment Scale-45</atitle><jtitle>Journal of gastrointestinal surgery</jtitle><stitle>J Gastrointest Surg</stitle><addtitle>J Gastrointest Surg</addtitle><date>2022-09-01</date><risdate>2022</risdate><volume>26</volume><issue>9</issue><spage>1817</spage><epage>1829</epage><pages>1817-1829</pages><issn>1091-255X</issn><eissn>1873-4626</eissn><abstract>Background
Although double tract reconstruction after proximal gastrectomy (PGDT) is commonly performed for proximal gastric or esophagogastric junction cancer, the impact of the procedure on postoperative quality of life (QOL) has not been clarified. We aimed to clarify the optimal PGDT procedure in terms of postoperative QOL.
Methods
Postoperative QOL was analyzed in 172 patients who underwent PGDT for proximal gastric cancer and were enrolled in the PGSAS-NEXT study, a multicenter cross-sectional study in Japan (UMIN000032221), in relation to the remnant stomach size, length of interposed jejunum between the esophagojejunostomy (E-J) and jejunogastrostomy (J-G), and size of the J-G.
Results
The remnant stomach size was approximately one-third in 13, half in 97, and two-thirds in 60 patients. Dissatisfaction scores for symptoms, diet, work, and daily life subscales were lower in patients with a larger stomach (
p
< 0.05). These patients also scored better in terms of weight loss (− 13.5%, − 14.0%, and − 11.2%, respectively) and amount of food ingested per meal (52%, 62%, and 66%). The length of the interposed jejunum was ≤ 10 cm in 62 and ≥ 11 cm in 97 patients. Weight loss (− 11.3% and − 13.8%) and dissatisfaction scores were better in the ≤ 10 cm group (
p
< 0.05). J-G size was ≤ 5 cm in 27 and ≥ 6 cm in 135 patients. The amount of food ingested (56%, 64%) and dissatisfaction scores were better in the > 6 cm group (
p
< 0.05).
Conclusions
Larger remnant stomach, shorter length of interposed jejunum, and longer J-G might contribute to better postoperative QOL after PGDT.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>35524078</pmid><doi>10.1007/s11605-022-05328-7</doi><tpages>13</tpages><orcidid>https://orcid.org/0000-0003-1365-1972</orcidid></addata></record> |
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| source | MEDLINE; SpringerLink Journals |
| subjects | Abdomen Cancer therapies Chemotherapy Cross-Sectional Studies Food Gastrectomy - methods Gastric cancer Gastric Stump - surgery Gastroenterology Gastrointestinal surgery Hospitals Humans Japan Likert scale Lymphatic system Meals Medicine Medicine & Public Health Original Article Patients Postgastrectomy Syndromes - diagnosis Postgastrectomy Syndromes - surgery Quality of Life Questionnaires Small intestine Stomach Neoplasms - surgery Surgery Weight Loss |
| title | Optimal Procedures for Double Tract Reconstruction After Proximal Gastrectomy Assessed by Postgastrectomy Syndrome Assessment Scale-45 |
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