TITLE:
Relationship between Gastric Stasis in the Remnant Stomach and Interdigestive Migrating Complex in Patients after Pylorus-Preserving Gastrectomy for Gastric Cancer
AUTHORS:
Ryouichi Tomita, Kenichi Sakurai, Shigeru Fujisaki, Takeo Azuhata, Yuko Takamoto
KEYWORDS:
Gastric Stasis in the Remnant Stomach, Interdigestive Migrating Complex, Pylorus-Preserving Gastrectomy, Gastric Cancer
JOURNAL NAME:
Journal of Cancer Therapy,
Vol.9 No.9,
September
5,
2018
ABSTRACT: Objectives: The demerit of pylorus-preserving gastrectomy (PPG) is gastric stasis in
the remnant stomach (GSRS). We investigated the relationship between
postgastrectomy disorder (PGD), especially GSRS, and interdigestive migrating
complex (IMC) in PPG patients. Background: The cause of GSRS is still
unknown. Therefore, we studied relationship between GSRS and IMC. Methods: 24 PPG patients (16 men and 8 women; mean, 61.2 years) were divided into groups
A (12 patients without GSRS) and B (12 patients with GSRS). The relationship
between GSRS and IMC was studied. Results: Length of the antral cuff
(LAC) was significantly longer in group A than group B (P P = 0.0465, P = 0.0186, respectively). Postprandial
abdominal fullness (PAF) was significantly more common in group B than in group
A (P = 0.0061). Reflux esophagitis
(RE) and body weight loss were found in group B more than in group A. Dumping
syndrome was not found in either group. Endoscopic gastritis was found
significantly more in group B than in group A (P = 0.0047). Conclusions: In PPG patients with a short LAC,
GSRS may occur by the decrease of IMC occurrence.