Improved quality of life in patients with gastric cancer after esophagogastrostomy reconstruction

AIM： To compare postoperative quality of life （QOL） in patients with gastric cancer treated by esophagogastrostomy reconstruction after proximal gastrectomy. METHODS： QOL assessments that included functional outcomes （a 24-item survey about treatment- specific symptoms） and health perception （Spitze...

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Bibliographic Details
Published in:World journal of gastroenterology : WJG 2009-07, Vol.15 (25), p.3183-3190
Main Authors: Zhang, Hao, Sun, Zhe, Xu, Hui-Mian, Shan, Ji-Xian, Wang, Shu-Bao, Chen, Jun-Qing
Format: Article
Language:English
Subjects:
Aged
Anastomosis, Surgical - methods
Brief
Female
Follow-Up Studies
Gastrectomy
Humans
Kaplan-Meier Estimate
Male
Middle Aged
Postoperative Period
Quality of Life
Reconstructive Surgical Procedures - methods
Stomach Neoplasms - surgery
Treatment Outcome
生活质量
电子工程
质量指数
质量评估
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Summary:AIM： To compare postoperative quality of life （QOL） in patients with gastric cancer treated by esophagogastrostomy reconstruction after proximal gastrectomy. METHODS： QOL assessments that included functional outcomes （a 24-item survey about treatment- specific symptoms） and health perception （Spitzer QOL Index） were performed in 149 patients with gastric cancer in the upper third of the stomach, who had received proximal gastrectomy with additional esophagogastrostomy. RESULTS： Fifty-four patients underwent reconstruction by esophagogastric anterior wall end-to-side anastomosis combined with pyloroplasty （EA group）; 45 patients had reconstruction by esophagogastric posterior wall end-to-side anastomosis （EP group）; and 50 patients had reconstruction by esophagogastric end-to-end anastomosis （EE group）. The EA group showed the best postoperative QOL, such as recovery of body weight, less discomfort after meals, and less heart burn or belching at 6 and 24 mo postoperatively. However, the survival rates, surgical results and Spitzer QOL index were similar among the three groups. CONCLUSION： Postoperative QOL was better in the EA than EP or EE group. To improve QOL after proximal gastrectomy for upper third gastric cancer, the EA procedure using a stapler is safe and feasible for esophagogastrostomy.
ISSN:1007-9327
2219-2840
DOI:10.3748/wjg.15.3183