Improving Postoperative Quality Of Life In Gastric Cancer Patients By A Special Reconstruction Method
- Date:
- July 16, 2009
- Source:
- World Journal of Gastroenterology
- Summary:
- Postoperative quality of life (QOL) is the main outcome for judging the efficacy of treatment modalities when no overall survival differences are demonstrated in patients with gastric cancer. A research group investigated the QOL of gastric cancer patients who received proximal gastrectomy with three methods of reconstruction. Esophagogastric anterior wall end-to-side anastomosis combined with pyloroplasty was shown to improve QOL than esophagogastric posterior wall end-to-side anastomosis and esophagogastric end-to-end anastomosis.
- Share:
Given equivalent results with regards to survival, the impact of anastomotic methods on QOL becomes even more important. There is still no consensus on how to choose a reconstruction method for proximal gastrectomy in patients with upper third gastric cancer.
A research team led by Professor Xu from the State Key Department of General Surgery, Department of Surgical Oncology, First Affiliated Hospital of China Medical University, investigated QOL of 149 patients with upper third gastric cancer, who were treated with proximal gastrectomy with additional reconstruction.
QOL assessments that included functional outcomes (a 24-item survey about treatment-specific symptoms, largely gastrointestinal function) and health perception (Spitzer QOL Index) were performed in 149 patients with gastric cancer. When QOL for the three reconstruction methods was compared, the EA procedure showed the best postoperative QOL, such as recovery of body weight, less postprandial discomfort, and less heart burn or belching at 6 and 24 mo postoperatively. However, the survival rates and Spitzer QOL index were similar among the three groups.
These results demonstrated that, to avoid postoperative symptoms and improve QOL for patients with upper third gastric cancer after proximal gastrectomy, the EA procedure using a stapler is a safe and feasible procedure for reconstruction.
Story Source:
Materials provided by World Journal of Gastroenterology. Note: Content may be edited for style and length.
Journal Reference:
- Zhang et al. Improved quality of life in patients with gastric cancer after esophagogastrostomy reconstruction. World Journal of Gastroenterology, 2009; 15 (25): 3183 DOI: 10.3748/wjg.15.3183
Cite This Page: