Home > Riviste > Minerva Chirurgica > Fascicoli precedenti > Minerva Chirurgica 2017 October;72(5) > Minerva Chirurgica 2017 October;72(5):368-74

ULTIMO FASCICOLO
 

ARTICLE TOOLS

Publication history
Estratti
Per citare questo articolo

MINERVA CHIRURGICA

Rivista di Chirurgia


Indexed/Abstracted in: EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 1,115


eTOC

 

ORIGINAL ARTICLE  


Minerva Chirurgica 2017 October;72(5):368-74

DOI: 10.23736/S0026-4733.17.07364-3

Copyright © 2017 EDIZIONI MINERVA MEDICA

lingua: Inglese

Preservation of duodenal passage as a determinant of short- and long-term quality of life in gastric cancer patients after total gastrectomy

Tomasz OLESIŃSKI , Marek SZPAKOWSKI, Piotr SARAMAK, Andrzej RUTKOWSKI, Krzysztof JEZIORSKI

Department of Oncological Gastroenterology, Maria Sklodowska-Curie Memorial Cancer Center, Warsaw, Poland


PDF  


BACKGROUND: The aim of this prospective study was to compare subjective and objective quality of life (QoL) of gastric cancer patients after total gastrectomy with and without preservation of the duodenal passage during short- and long-term follow-up.
METHODS: The study included 68 patients, among them 37 (54%) persons subjected to total gastrectomy with Roux-Y reconstruction (R-Y group) and 31 (46%) individuals in whom gastrectomy was followed by formation of Henley-Longmire loop (H-L group). Subjective and objective QoL was determined 1 and 10 years postsurgery. During each visit, subjective QoL was determined with EORTC QLQ-C30 questionnaire, along with markers of nutritional status and self-reported incidence of symptoms specific to postgastrectomy syndrome.
RESULTS: The two groups did not differ significantly in terms of their subjective QoL and markers of nutritional status at 1 and 10 years postsurgery, and none of these parameters underwent significant changes between the first and second evaluation. Patients from R-Y group reported subjective weight loss significantly more often during both visits, and individuals from H-L group significantly more often complained on postprandial diarrhea during long-term follow-up. Moreover, both groups showed an increase in the incidence of postprandial vomiting between the first and second evaluation.
CONCLUSIONS: QoL of gastric cancer patients subjected to total gastrectomy stabilizes at relatively high level within a year from the surgery. Preservation of the duodenal passage does not exert a beneficial effect on both objective and subjective QoL after total gastrectomy.


KEY WORDS: Dumping syndrome - Postgastrectomy syndromes - Quality of life - Stomach neoplasms

inizio pagina

Publication History

Issue published online: July 11, 2017
Article first published online: April 19, 2017
Manuscript accepted: April 6, 2017
Manuscript received: March 22, 2017

Per citare questo articolo

Olesiński T, Szpakowski M, Saramak P, Rutkowski A, Jeziorski K. Preservation of duodenal passage as a determinant of short- and long-term quality of life in gastric cancer patients after total gastrectomy. Minerva Chir 2017;72:368-74. DOI: 10.23736/S0026-4733.17.07364-3

Corresponding author e-mail

tolesinski@coi.pl