Functional benefits of the double flap technique after proximal gastrectomy for gastric cancer

Abstract Background Proximal gastrectomy is a widely performed procedure that has become more common with an increasing number of proximal gastric cancer cases. Several types of reconstructive procedures after proximal gastrectomy have been developed, and it remains controversial which procedure is...

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Autores principales:	Zenichiro Saze, Koji Kase, Hiroshi Nakano, Naoto Yamauchi, Akinao Kaneta, Yohei Watanabe, Hiroyuki Hanayama, Suguru Hayase, Tomoyuki Momma, Koji Kono
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Gastrointestinal Laparoscopy Nutrition Stomach Oncology Surgery RD1-811
Acceso en línea:	https://doaj.org/article/e64e2137abca42a2af34727b70e135eb
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spelling	oai:doaj.org-article:e64e2137abca42a2af34727b70e135eb2021-11-07T12:10:04ZFunctional benefits of the double flap technique after proximal gastrectomy for gastric cancer10.1186/s12893-021-01390-11471-2482https://doaj.org/article/e64e2137abca42a2af34727b70e135eb2021-11-01T00:00:00Zhttps://doi.org/10.1186/s12893-021-01390-1https://doaj.org/toc/1471-2482Abstract Background Proximal gastrectomy is a widely performed procedure that has become more common with an increasing number of proximal gastric cancer cases. Several types of reconstructive procedures after proximal gastrectomy have been developed, and it remains controversial which procedure is the most advantageous with regard to the preservation of postoperative gastric stump function and nutritional status. In the present study, we retrospectively analyzed reconstructive procedures in a consecutive case series for proximal gastrectomy, primarily focusing on postoperative body weight maintenance, nutritional status, and gastric remnant functional preservation. Methods We enrolled 69 patients who had undergone proximal gastrectomy for gastric cancer in our institute between 2005 and 2020. Short-term complications, preservation of gastric remnant functions, nutritional status, and post-operative weight changes were compared. Results After proximal gastrectomy, the numbers of patients who underwent direct esophago-gastrostomy, jejunal interposition, double tract reconstruction, and the double flap technique were 9, 10, 14, and 36, respectively. The patients in whom the double flap technique was performed suffered no reflux esophagitis after surgery. Prevalence of gastric residual at 12 months after surgery was lowest in the double flap technique group. Moreover, the double flap technique group had a better tendency regarding post-operative changes of serum albumin ratios. Furthermore, the post-operative body weight change ratio of the double flap technique group was smallest among all groups and was significantly better than that of the double tract group. Conclusions The double flap technique after proximal gastrectomy was considered the most effective technique for reconstruction which leads to better bodyweight maintenance, and results in less reflux esophagitis.Zenichiro SazeKoji KaseHiroshi NakanoNaoto YamauchiAkinao KanetaYohei WatanabeHiroyuki HanayamaSuguru HayaseTomoyuki MommaKoji KonoBMCarticleGastrointestinalLaparoscopyNutritionStomachOncologySurgeryRD1-811ENBMC Surgery, Vol 21, Iss 1, Pp 1-7 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Gastrointestinal Laparoscopy Nutrition Stomach Oncology Surgery RD1-811
spellingShingle	Gastrointestinal Laparoscopy Nutrition Stomach Oncology Surgery RD1-811 Zenichiro Saze Koji Kase Hiroshi Nakano Naoto Yamauchi Akinao Kaneta Yohei Watanabe Hiroyuki Hanayama Suguru Hayase Tomoyuki Momma Koji Kono Functional benefits of the double flap technique after proximal gastrectomy for gastric cancer
description	Abstract Background Proximal gastrectomy is a widely performed procedure that has become more common with an increasing number of proximal gastric cancer cases. Several types of reconstructive procedures after proximal gastrectomy have been developed, and it remains controversial which procedure is the most advantageous with regard to the preservation of postoperative gastric stump function and nutritional status. In the present study, we retrospectively analyzed reconstructive procedures in a consecutive case series for proximal gastrectomy, primarily focusing on postoperative body weight maintenance, nutritional status, and gastric remnant functional preservation. Methods We enrolled 69 patients who had undergone proximal gastrectomy for gastric cancer in our institute between 2005 and 2020. Short-term complications, preservation of gastric remnant functions, nutritional status, and post-operative weight changes were compared. Results After proximal gastrectomy, the numbers of patients who underwent direct esophago-gastrostomy, jejunal interposition, double tract reconstruction, and the double flap technique were 9, 10, 14, and 36, respectively. The patients in whom the double flap technique was performed suffered no reflux esophagitis after surgery. Prevalence of gastric residual at 12 months after surgery was lowest in the double flap technique group. Moreover, the double flap technique group had a better tendency regarding post-operative changes of serum albumin ratios. Furthermore, the post-operative body weight change ratio of the double flap technique group was smallest among all groups and was significantly better than that of the double tract group. Conclusions The double flap technique after proximal gastrectomy was considered the most effective technique for reconstruction which leads to better bodyweight maintenance, and results in less reflux esophagitis.
format	article
author	Zenichiro Saze Koji Kase Hiroshi Nakano Naoto Yamauchi Akinao Kaneta Yohei Watanabe Hiroyuki Hanayama Suguru Hayase Tomoyuki Momma Koji Kono
author_facet	Zenichiro Saze Koji Kase Hiroshi Nakano Naoto Yamauchi Akinao Kaneta Yohei Watanabe Hiroyuki Hanayama Suguru Hayase Tomoyuki Momma Koji Kono
author_sort	Zenichiro Saze
title	Functional benefits of the double flap technique after proximal gastrectomy for gastric cancer
title_short	Functional benefits of the double flap technique after proximal gastrectomy for gastric cancer
title_full	Functional benefits of the double flap technique after proximal gastrectomy for gastric cancer
title_fullStr	Functional benefits of the double flap technique after proximal gastrectomy for gastric cancer
title_full_unstemmed	Functional benefits of the double flap technique after proximal gastrectomy for gastric cancer
title_sort	functional benefits of the double flap technique after proximal gastrectomy for gastric cancer
publisher	BMC
publishDate	2021
url	https://doaj.org/article/e64e2137abca42a2af34727b70e135eb
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Functional benefits of the double flap technique after proximal gastrectomy for gastric cancer

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