JaLCDOI 10.18926/AMO/54191
フルテキストURL 70_2_119.pdf
著者 Isozaki, Hiroshi| Matsumoto, Sasau| Murakami, Shigeki| Takama, Takehiro| Sho, Tatuo| Ishihara, Kiyohiro| Sakai, Kunihiko| Takeda, Masanori| Nakada, Koji| Fujiwara, Toshiyoshi|
抄録 Using the Postgastrectomy Syndrome Assessment Scale (PGSAS)-45, we compared the surgical outcomes and the quality of life (QOL) between patients undergoing limited gastrectomies and those undergoing conventional gastrectomies. In Oomoto Hospital between January 2004 and December 2013, a total of 124 patients who met the eligibility criteria were enrolled. Using the main outcome measures of PGSAS-45, we compared 4 types of limited gastrectomy procedures (1/2 distal gastrectomy [1/2DG] in 21 patients; pylorus-preserving gastrectomy [PPG] in 15 patients; segmental gastrectomy [SG] in 26 patients; and local resection [LR] in 13 patients) with conventional gastrectomy (total gastrectomy [TG] in 24 patients and 2/3 or more distal gastrectomy [WDG] in 25 patients). The TG group showed the worst QOL in almost all items of the main outcome measures. The 1/2DG, PPG, and SG groups showed better QOL than the WDG group in many of the main outcome measures, including the body weight ratio, total symptom score, ingested amount of food per meal, and the dissatisfaction for daily life subscale. The LR group showed a better intake of food than the 1/2DG, PPG, and SG groups. The body weight ratio of the LR group was better than that of the SG group. Diminished gastric resection preserved better QOL in patients with early gastric cancer.
キーワード limited gastrectomy early gastric cancer function preserving gastrectomy quality of life postgastrectomy syndrome
Amo Type Original Article
発行日 2016-04
出版物タイトル Acta Medica Okayama
出版者 Okayama University Medical School
開始ページ 119
終了ページ 130
ISSN 0386-300X
NCID AA00508441
資料タイプ 学術雑誌論文
言語 English
著作権者 CopyrightⒸ 2016 by Okayama University Medical School
論文のバージョン publisher
査読 有り
PubMed ID 27094837
Web of Science KeyUT 000377626300007