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Delayed gastric emptying after distal gastrectomy for gastric cancer.
Hepatogastroenterology. 2005 Jan-Feb; 52(61):305-9.H

Abstract

BACKGROUND/AIMS

Gastric surgery may potentiate delayed gastric emptying. The aims of the study were to determine the frequency and causes of delayed gastric emptying in patients who had undergone distal gastrectomy for gastric carcinoma and to assess which factors predispose to its development.

METHODOLOGY

209 patients, who had undergone gastrectomy, were evaluated.

RESULTS

Delayed gastric emptying occurred in 4.3% of patients receiving a Billroth-I, and 15.5% of patients receiving a Roux-Y reconstruction (p = 0.01). The patients who had these consecutive symptoms following Roux-Y operation were all clinically diagnosed as having Roux stasis syndrome. The delayed gastric emptying after Roux-Y operation was more frequent in patients receiving extensive lymph node dissection than those receiving conventional dissection (p<0.05). The symptoms spontaneously subsided, and postoperative body weight loss was not significant.

CONCLUSIONS

In spite of the strong association between delayed gastric emptying and the Roux-Y procedure, it enables a relatively early return to oral intake.

Authors+Show Affiliations

Department of Surgery, Osaka National Hospital, Osaka, Japan. hiraom@onh.go.jpNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

15783056

Citation

Hirao, Motohiro, et al. "Delayed Gastric Emptying After Distal Gastrectomy for Gastric Cancer." Hepato-gastroenterology, vol. 52, no. 61, 2005, pp. 305-9.
Hirao M, Fujitani K, Tsujinaka T. Delayed gastric emptying after distal gastrectomy for gastric cancer. Hepatogastroenterology. 2005;52(61):305-9.
Hirao, M., Fujitani, K., & Tsujinaka, T. (2005). Delayed gastric emptying after distal gastrectomy for gastric cancer. Hepato-gastroenterology, 52(61), 305-9.
Hirao M, Fujitani K, Tsujinaka T. Delayed Gastric Emptying After Distal Gastrectomy for Gastric Cancer. Hepatogastroenterology. 2005 Jan-Feb;52(61):305-9. PubMed PMID: 15783056.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Delayed gastric emptying after distal gastrectomy for gastric cancer. AU - Hirao,Motohiro, AU - Fujitani,Kazumasa, AU - Tsujinaka,Toshimasa, PY - 2005/3/24/pubmed PY - 2005/7/13/medline PY - 2005/3/24/entrez SP - 305 EP - 9 JF - Hepato-gastroenterology JO - Hepatogastroenterology VL - 52 IS - 61 N2 - BACKGROUND/AIMS: Gastric surgery may potentiate delayed gastric emptying. The aims of the study were to determine the frequency and causes of delayed gastric emptying in patients who had undergone distal gastrectomy for gastric carcinoma and to assess which factors predispose to its development. METHODOLOGY: 209 patients, who had undergone gastrectomy, were evaluated. RESULTS: Delayed gastric emptying occurred in 4.3% of patients receiving a Billroth-I, and 15.5% of patients receiving a Roux-Y reconstruction (p = 0.01). The patients who had these consecutive symptoms following Roux-Y operation were all clinically diagnosed as having Roux stasis syndrome. The delayed gastric emptying after Roux-Y operation was more frequent in patients receiving extensive lymph node dissection than those receiving conventional dissection (p<0.05). The symptoms spontaneously subsided, and postoperative body weight loss was not significant. CONCLUSIONS: In spite of the strong association between delayed gastric emptying and the Roux-Y procedure, it enables a relatively early return to oral intake. SN - 0172-6390 UR - https://www.unboundmedicine.com/medline/citation/15783056/Delayed_gastric_emptying_after_distal_gastrectomy_for_gastric_cancer_ L2 - https://medlineplus.gov/stomachcancer.html DB - PRIME DP - Unbound Medicine ER -