アンケート調査による胃癌幽門側胃切除術,Billroth-I (B-I)法再建後のQuality of Life (QOL)

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We employed questionnaires to determine the quality of life (QOL) based on the incidences of complaints after distal gastrectomy followed by Billroth I reconstruction and their time course changes. About 95% of the patients responded that their quality of life was good or moderate. A decrease in food intake was noted in 61.1% of the patients, and a decrease in body weight in 71.5%. The incidence of dumping syndrome was 34.1% in the early phase and 19.0% in the late phase. The incidence of esophageal regurgitation symptoms was 31.2%. The time-course changes were compared for a short-term group, a medium-term group, and a long-term group, of patients less than 5 years, less than 10 years and 10 years or more postoperative, respectively. The amount of each meal, the number of meals per day, and the postoperative body weight recovered to levels similar to those before surgery in the long-terms group, evidencing a slow recovery rate. Complaints persisting 1 year or longer after surgery are thus considered to be less likely to disappear. It is consequently considered that patients undergoing distal gastrectomy followed by Billroth I reconstruction suffer from many complaints and that the development of new surgical techniques is required.
東京女子医科大学の論文
2003-11-25