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Ann Surg Treat Res. 2017 Dec;93(6):310-315. doi: 10.4174/astr.2017.93.6.310. Epub 2017 Dec 1.

Clinical features of gastric emptying after distal gastrectomy.

Kim DH1,2, Yun HY1,2, Song YJ1,2, Ryu DH1,2, Han HS3,4, Han JH3,4, Kim KB3,4, Yoon SM3,4, Youn SJ3,4.

Author information

1
Department of Surgery, Chungbuk National University College of Medicine, Cheongju, Korea.
2
Department of Surgery, Chungbuk National University Hospital, Cheongju, Korea.
3
Department of Internal Medicine, Chungbuk National University College of Medicine, Cheongju, Korea.
4
Department of Internal Medicine, Chungbuk National University Hospital, Cheongju, Korea.

Abstract

Purpose:

Gastric emptying may influence the quality of life of patients who undergo distal gastrectomy. Little is known, however, about gastric emptying after distal gastrectomy. The aim of our study was to investigate gastric emptying patterns after distal gastrectomy.

Methods:

This gastric-emptying study investigated patients who underwent distal gastrectomy in the 6 months or more before May 2008 to July 2013 at Chungbuk National University Hospital with a study sample of 205 patients. We analyzed patterns of gastric emptying.

Results:

Delayed gastric emptying was found in 109 of the 205 patients (53.2%). Food stasis was more frequent in a group with delayed gastric emptying. In multivariate analysis, risk factors for gastroparesis were laparoscopic operation (hazard ratio [HR], 2.731; P = 0.008) and duration of less than 24 months after distal gastrectomy (HR, 2.795; P = 0.001). Delayed gastric emptying tended to decrease with duration of the postoperative period.

Conclusion:

Delayed gastric emptying is common in distal gastrectomy, and is related to laparoscopic operation and duration of the postoperative period. Food stasis was more frequent in a group with delayed gastric emptying.

KEYWORDS:

Gastrectomy; Gastric neoplasms; Gastroparesis; Quality of life

Conflict of interest statement

CONFLICTS OF INTEREST: No potential conflict of interest relevant to this article was reported.

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