Postoperative reorganization of gastric pacemaker activity in patients after an extended period following distal gastrectomy
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概要
- 論文の詳細を見る
We recorded and analyzed electrogastrograms (EGGs) from 12 patients following distal gastrectomy. The EGGs were recorded from between 3 and 262 months postoperatively. Gastric electrical activity, which showed a distinct repeating pattern with a frequency of 3 cycles per minute (cpm), was easily recognizable in subjects who were recorded 16-20 years postoperatively, but was not clearly evident in EGG running spectra of subjects with a shorter postoperative period. Although the postprandial instability factor of the 3-cpm components (standard deviation of mean spectral frequency of peak 3-cpm group/mean of the 3-cpm spectral frequency) of the epigastric and supraumbilical EGGs showed a significant negative linear correlation with postoperative months, no such correlation was seen in the postprandial to fasting power ratio (postprandial power/fasting power) of the 3-cpm activity component. Therefore, we hypothesized that the disorganized pacemaker activity of the remnant stomach following distal gastrectomy can be reorganized to work as a synchronized unit over a long postoperative recovery period of from 15 to 20 years. A greater degree of epigastric and supraumbilical fasting 6-cpm power seemed to result in a worse quality of life (QOL). Similarly, a larger ratio of the supraumbilical postprandial to fasting power ratio of the 6-cpm activity seemed to result in a worse QOL. In contrast a larger ratio of the infaraumbilical postprandial to fasting power content of the 6-cpm activity seemed to result in a better QOL.
- 日本平滑筋学会の論文
著者
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HOMMA Shinji
Division of Physiology II, Faculty of Medicine, Niigata University Graduate School of Medical and De
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HATAKEYAMA Katsuyoshi
Division of Digestive and General Surgery, Niigata University Graduate School of Medical and Dental
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Hatakeyama K
Division Of Digestive And General Surgery Niigata University Graduate School Of Medical And Dental S
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Hatakeyama Katsuyoshi
新潟大学 医歯学総合研究科消化器一般外科
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Yaoeda Kiyoshi
Niigata Univ. Niigata Jpn
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KANDA Tatsuo
Division of Digestive and General Surgery Niigata University Graduate School of Medical and Dental S
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Koyama Yu
新潟大学 医歯学総合研究科産科婦人科学教室
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Koyama Yu
新潟大学 第1外科
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Koyama Y
The First Department Of Surgery Niigata University School Of Medicine
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Koyama Yu
Division Of Digestive And General Surgery Graduate School Of Medical And Dental Sciences Niigata Uni
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Homma Shinji
Division Of Organ Physiology Department Of Regenerative And Transplant Medicine Graduate School Of M
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Homma Shinji
Department Of Organ Physiology Niigata University Graduate School Of Medical And Dental Sciences
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Oyamatsu M
Department Of Surgery Niigata University School Of Medicine
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Kanda T
Division Of Digestive And General Surgery Niigata University Graduate School Of Medical And Dental S
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OHASHI MANABU
Division of Digestive and General Surgery, Niigata University Graduate School of Medical and Dental
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KOBAYASHI Yasuo
Division of Digestive and General Surgery, Department of Regenerative and Transplant Medicine, Gradu
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KOSUGI Shinichi
Division of Digestive and General Surgery, Department of Regenerative and Transplant Medicine, Gradu
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OKAMOTO Haruhiko
Division of Digestive and General Surgery, Department of Regenerative and Transplant Medicine, Gradu
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MARUYAMA Satoshi
Digestive and General Surgery, Graduate School of Medical and Dental Sciences, Niigata University
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OHTA Tamaki
Department of Pathology
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Homma S
Division Of Organ Physiology Department Of Regenerative And Transplant Medicine Graduate School Of M
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Kosugi Shinichi
Division Of Digestive And General Surgery Niigata University Graduate School Of Medical And Dental S
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Hatakeyama K
Division Of Digestive And General Surgery Department Of Surgery Niigata University Graduate School O
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Hatakeyama K
Niigata Univ. Niigata Jpn
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Kanda Tatsuo
Division Of Digestive And General Surgery Department Of Regenerative And Transplant Medicine Niigata
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Ohashi M
Division Of Digestive And General Surgery Department Of Regenerative And Transplant Medicine Niigata
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Hatakeyama Katsuyoshi
Division Of Digestive And General Surgery Graduate School Of Medical And Dental Sciences Niigata Uni
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Kosugi Shinichi
Division Of Digestive And General Surgery Department Of Regenerative And Transplant Medicine Niigata
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Hatakeyama Katsuyoshi
Division Of Digestive And General Surgery Department Of Regenerative And Transplant Medicine Graduat
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Ohashi Manabu
Division Of Digestive And General Surgery Niigata University Graduate School Of Medical And Dental S
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Kimura Tatsuji
Tonen Corporation Research & Development Laboratory
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Okamoto Haruhiko
Division Of Digestive And General Surgery Department Of Regenerative And Transplant Medicine Graduat
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Hatakeyama Katsuyoshi
The First Department Of Surgery Niigata University School Of Medicine
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Hatakeyama Katsuyoshi
Division Of Digestive And General Surgery Department Of Regeneration And Transplant Medicine Niigata
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Kobayashi Yasuo
Division Of Digestive And General Surgery Graduate School Of Medical And Dental Sciences Niigata University
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