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Consideration of cardia preserving proximal gastrectomy in early gastric cancer of upper body for prevention of gastroesophageal reflux disease and stenosis of anastomosis site.

Kim J, Kim S, Min YD - J Gastric Cancer (2012)

Bottom Line: The length of proximal resection free margin was 3.1±0.1 cm and distal was 3.7±0.1 cm.Early complications were surgical site infection (1), bleeding (1), and gastro-esophageal reflux disease (1) (this symptom was improved with medication).Late complications were dyspepsia (3) (this symptom was improved without any treatment), and others were nonspecific results of endoscopy or symptom.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, Chosun University College of Medicine, Gwangju, Korea.

ABSTRACT

Purpose: The aim of this study is to evaluate the feasibility and safety of cardia preserving proximal gastrectomy, in early gastric cancer of the upper third.

Materials and methods: A total of 10 patients were diagnosed with early gastric cancer of the upper third through endoscopic biopsy. The operation time, length of resection free margin, number of resected lymph nodes and postoperative complications, gastrointestinal symptoms, nutritional status, anastomotic stricture, and recurrence were examined.

Results: There were 5 males and 5 females. The mean age was 56.5±0.5 years. The mean operation time was 188.5±0.5 minutes (laparoscopic operation was 270 minutes). Nine patients were T1 stage (T2 : 1), and N stage was all N0. The mean number of resected lymph nodes was 25.2±0.5. The length of proximal resection free margin was 3.1±0.1 cm and distal was 3.7±0.1 cm. Early complications were surgical site infection (1), bleeding (1), and gastro-esophageal reflux disease (1) (this symptom was improved with medication). Late complications were dyspepsia (3) (this symptom was improved without any treatment), and others were nonspecific results of endoscopy or symptom.

Conclusions: Cardia preserving proximal gastrectomy was feasible for early gastric cancer of the upper third. Further evaluation and prospective research will be required.

No MeSH data available.


Related in: MedlinePlus

Endoscopic follow-up of cardia preserving proximal gastrectomy showing wider anastomotic ring.
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Figure 4: Endoscopic follow-up of cardia preserving proximal gastrectomy showing wider anastomotic ring.

Mentions: All patients, except 1, who had treatment 2 months after the surgery due to gastroesophageal reflux symptom, performed endoscopic examinations on a regular basis 6 months after the surgery, and then on 1 year basis thereafter. The result showed that 1 (No. 4) out of 10 patients showed reflux esophagitis, but no anastomotic stricture. Gastric emptying scan was not taken routinely, but no patients showed symptoms related to the delay. Endoscope showed a wider anastomosis after gastro-gastrostomy (Fig. 4).


Consideration of cardia preserving proximal gastrectomy in early gastric cancer of upper body for prevention of gastroesophageal reflux disease and stenosis of anastomosis site.

Kim J, Kim S, Min YD - J Gastric Cancer (2012)

Endoscopic follow-up of cardia preserving proximal gastrectomy showing wider anastomotic ring.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3473226&req=5

Figure 4: Endoscopic follow-up of cardia preserving proximal gastrectomy showing wider anastomotic ring.
Mentions: All patients, except 1, who had treatment 2 months after the surgery due to gastroesophageal reflux symptom, performed endoscopic examinations on a regular basis 6 months after the surgery, and then on 1 year basis thereafter. The result showed that 1 (No. 4) out of 10 patients showed reflux esophagitis, but no anastomotic stricture. Gastric emptying scan was not taken routinely, but no patients showed symptoms related to the delay. Endoscope showed a wider anastomosis after gastro-gastrostomy (Fig. 4).

Bottom Line: The length of proximal resection free margin was 3.1±0.1 cm and distal was 3.7±0.1 cm.Early complications were surgical site infection (1), bleeding (1), and gastro-esophageal reflux disease (1) (this symptom was improved with medication).Late complications were dyspepsia (3) (this symptom was improved without any treatment), and others were nonspecific results of endoscopy or symptom.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, Chosun University College of Medicine, Gwangju, Korea.

ABSTRACT

Purpose: The aim of this study is to evaluate the feasibility and safety of cardia preserving proximal gastrectomy, in early gastric cancer of the upper third.

Materials and methods: A total of 10 patients were diagnosed with early gastric cancer of the upper third through endoscopic biopsy. The operation time, length of resection free margin, number of resected lymph nodes and postoperative complications, gastrointestinal symptoms, nutritional status, anastomotic stricture, and recurrence were examined.

Results: There were 5 males and 5 females. The mean age was 56.5±0.5 years. The mean operation time was 188.5±0.5 minutes (laparoscopic operation was 270 minutes). Nine patients were T1 stage (T2 : 1), and N stage was all N0. The mean number of resected lymph nodes was 25.2±0.5. The length of proximal resection free margin was 3.1±0.1 cm and distal was 3.7±0.1 cm. Early complications were surgical site infection (1), bleeding (1), and gastro-esophageal reflux disease (1) (this symptom was improved with medication). Late complications were dyspepsia (3) (this symptom was improved without any treatment), and others were nonspecific results of endoscopy or symptom.

Conclusions: Cardia preserving proximal gastrectomy was feasible for early gastric cancer of the upper third. Further evaluation and prospective research will be required.

No MeSH data available.


Related in: MedlinePlus