Abstract:
PURPOSE:Double tract reconstruction (DT) after proximal gastrectomy (PG) is considered beneficial for postoperative nutrition status by preserving the physiological passage of food. We conducted this study to assess postoperative nutrition status based on food passage after this operation. METHODS:The subjects of this retrospective study were 63 patients who underwent PG with DT. The patients were divided into two groups according to whether they had postoperative malnutrition (PM) 1 year postoperatively (PM group) or not (non-PM group). PM was defined by both weight loss > 10% and a low body mass index of < 20 or < 22 kg/m2 for patients younger and older than 70 years, respectively. We then evaluated the predictors of PM. RESULTS:There were 33 patients in the PM group. These patients were predominantly female (p < 0.01) and lacked physiological passage through the remnant stomach (PRS) on postoperative fluoroscopy (defined as non-PRS, p = 0.03). Multivariate logistic regression analysis revealed that female gender and non-PRS status were independent predictors of PM (odds ratio [95% CI]; 7.42 [1.33-41.4]; p = 0.02, 6.77 [1.01-45.4]; p = 0.04, respectively). CONCLUSION:Preservation of the physiological passage of food through the remnant stomach prevents PM after PG with DT.
journal_name
Surg Todayjournal_title
Surgery todayauthors
Yamashita K,Iwatsuki M,Koga Y,Toihata T,Kiyozumi Y,Kuroda D,Eto K,Hiyoshi Y,Iwagami S,Baba Y,Miyamoto Y,Yoshida N,Baba Hdoi
10.1007/s00595-019-01799-5subject
Has Abstractpub_date
2019-09-01 00:00:00pages
748-754issue
9eissn
0941-1291issn
1436-2813pii
10.1007/s00595-019-01799-5journal_volume
49pub_type
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