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Significance of resected stomach measurements in postoperative delayed gastric emptying following laparoscopic pylorus-preserving gastrectomy. | LitMetric

AI Article Synopsis

  • The study examined how the size of the resected stomach after laparoscopic pylorus-preserving gastrectomy affects delayed gastric emptying (DGE) and food residue one year post-surgery.
  • Patients were divided into two groups: those with DGE symptoms and a control group without, showing that the DGE group was older and had smaller stomach sections.
  • Findings suggest that larger resections of the greater curvature might help reduce DGE, indicating a need for improved surgical strategies and further research to confirm the results.

Article Abstract

Purpose: We investigated the relationship between the resected stomach measurements, the incidence of delayed gastric emptying (DGE), and food residue 1 year after surgery in patients who underwent laparoscopic pylorus-preserving gastrectomy (PPG).

Materials And Methods: The DGE group included 10 patients fasting due to nausea, vomiting, abdominal distension, or remnant stomach distension on radiographs; the control group included 36 patients without these symptoms. We compared the size and length of lesser and greater curvatures of the resected stomach and endoscopic findings after 1 year.

Results: No significant differences were observed between groups in terms of sex, body mass index, gross type, histology, tumor progression, number of dissected lymph nodes, operating time, or blood loss. The DGE group was older, had a longer postoperative stay, and showed a smaller size and shorter greater curvature of the resected stomach than the control group (p < 0.01 for all). No difference was observed in the length of the lesser curvature of the resected stomach. In addition, there were no disparities in residual food, degree and extent of gastritis, or bile reflux 1 year after gastrectomy.

Conclusions: Measurements of the resected stomach suggest that preventing DGE may be achievable by removing a larger area of the greater curvature and/or stomach during laparoscopic PPG. This implies potential surgical strategy improvements for better outcomes. Further multicenter trials are needed to validate and refine techniques.

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Source
http://dx.doi.org/10.1111/ases.13392DOI Listing

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