Jejunal interposition following proximal gastrectomy for early gastric cancer : effect on the quality of life
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概要
- 論文の詳細を見る
Background: Early gastric cancer arising in the upper third area (U-area) has increased in incidence, but the operative outcome and prognosis have improved. However, a standard reconstruction procedure has not been established. The aim of this study was to investigate the usefulness of jejunal interposition for reconstruction after proximal gastrectomy following with a modification for prevention gastro-esophageal reflux. Methods: The subjects were 9 patients with mucosal or submucosal gastric cancer in U-area, in whom jejunal interposition was performed for reconstruction after proximal gastrectomy. The control group was 8 patients with mucosal or submucosal gastric cancer and leiomyoma in whom esophagogastrostomy was performed. Results: After jejunal interposition, there were no symptoms of esophageal reflux such as heartburn and regurgitation, and no esophagitis was seen on endoscopic examination. Furthermore, reflux of gastric contents into the esophagus was not seen on either upper gastrointestinal series or scintigraphy. After esophagogastrostomy, however, esophageal reflux symptoms and endoscopic evidence of esophagitis due to reflux were noted in 7 out of 8 patients (87.5%), and medications were needed for symptomatic relief. Conclusions: Jejunal interposition following with a modification for prevention of gastro-esophageal reflux may be an excellent procedure for improving the postoperative quality of life after proximal gastrectomy.
- 近畿大学の論文
著者
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Shigeoka Hironori
Department of Surgery, Kinki University School of Medicine
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Shinkai Masayuki
Department Of Chemistry And Chemical Engineering Niigata University
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Shinkai Masayuki
近畿大学医学部附属堺病院 外科
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Tanaka Akira
Department of Health and Nutrition, College of Human and Environmental Studies, Kanto-Gakuin Univers
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Shigeoka Hironori
Department Of Surgery Kinki University School Of Medicine
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Imano Motohiro
Department Of Surgery School Of Medicine Kinki University
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Imano Motohiro
Department Of Surgery Kinki University School Of Medicine
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Hashimoto Naoki
Department of Surgery, Kinki University, School of Medicine
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Imamoto Haruhiko
Department of Surgery, Kinki University, School of Medicine
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Hirai Norihiko
Department of Surgery, Kinki University, School of Medicine
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Kawanishi Kensyu
Department of Surgery, Kinki University, School of Medicine
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Hirai Norihiko
Department Of Surgery Kinki University School Of Medicine
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Kawanishi Kensyu
Department Of Surgery Kinki University School Of Medicine
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Imamoto Haruhiko
Department Of Surgery Kinki University School Of Medicine
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Imamoto Haruhiko
Department Of Surgery Kansai Rosai Hospital.
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Hashimoto Naoki
Department Of Psychiatry Graduate School Of Medicine Hokkaido University
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Hashimoto Naoki
Department Of Surgery Kinki University School Of Medicine
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Hashimoto Naoki
Department Of Chemistry Graduate School Of Arts And Sciences The University Of Tokyo
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Tanaka Akira
Department Of Diagnostic Pathology Jichi Medical University
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Shigeoka Hironori
Department of Surgery, Kinki University, School of Medicine
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HIRAI Norihiko
Department of Pharmacology, School of Veterinary Medicine, Azabu University, Sagamihara, Kanagawa 252–5201, Japan
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TANAKA Akira
Department of Agricultural Chemistry, Faculty of Agriculture, Tohoku University
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Shinkai Masayuki
Department of Surgery, Kinki University, School of Medicine
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