지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2008.2
- 수록면
- 110 - 114 (5page)
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초록· 키워드
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Purpose: This study was conducted to analyze the clinical course of patients of gastric cancer with outlet obstruction by comparing them with the gastric cancer patients without outlet obstruction.
Methods: The records of gastric cancer patients with outlet obstruction and who underwent radical gastrectomy from January 1996 to December 2005 were retrospectively reviewed and compared with those patients with gastric cancer and who were without outlet obstruction.
Results: The number of the patients who underwent radical gastrectomy was 461. Out of 461 patients, the number of gastric cancer patients with outlet obstruction was 42 (9.1%), and they had nasogastric tube insertion for an average of 4.4 days before operation. These patients showed several significant features such as large tumor size, advanced stage, an increased the number of involved LNs, a low serum albumin level, a frequent antral tumor location and duodenal invasion. There was no difference in complication rates between the two groups, but a higher mortality rate was noted in the gastric cancer patients with outlet obstruction than that in the other patients (P=0.038). The survival rate after the operation was significantly lower among the gastric cancer patients with outlet obstruction (P=0.0008), whereas no difference was found in the survival rate between the above two groups at the same stage (P=0.1951).
Conclusion: The gastric cancer patients with outlet obstruction showed a comparatively poorer prognosis than those gastric cancer patients without outlet obstruction. However, there was no significant difference in the complication rate and the survival rate for both types of patients who were at the same stage. These results suggest that the patients with outlet obstruction can show the same result as the patients without outlet obstruction by undergoing radical gastrectomy.
Methods: The records of gastric cancer patients with outlet obstruction and who underwent radical gastrectomy from January 1996 to December 2005 were retrospectively reviewed and compared with those patients with gastric cancer and who were without outlet obstruction.
Results: The number of the patients who underwent radical gastrectomy was 461. Out of 461 patients, the number of gastric cancer patients with outlet obstruction was 42 (9.1%), and they had nasogastric tube insertion for an average of 4.4 days before operation. These patients showed several significant features such as large tumor size, advanced stage, an increased the number of involved LNs, a low serum albumin level, a frequent antral tumor location and duodenal invasion. There was no difference in complication rates between the two groups, but a higher mortality rate was noted in the gastric cancer patients with outlet obstruction than that in the other patients (P=0.038). The survival rate after the operation was significantly lower among the gastric cancer patients with outlet obstruction (P=0.0008), whereas no difference was found in the survival rate between the above two groups at the same stage (P=0.1951).
Conclusion: The gastric cancer patients with outlet obstruction showed a comparatively poorer prognosis than those gastric cancer patients without outlet obstruction. However, there was no significant difference in the complication rate and the survival rate for both types of patients who were at the same stage. These results suggest that the patients with outlet obstruction can show the same result as the patients without outlet obstruction by undergoing radical gastrectomy.
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결론
REFERENCES
참고문헌 (18)
참고문헌 신청
1. [학술지(정기간행물)] - Chopita N / 2007 / Malignant gastroenteric obstruction: therapeutic options / Gastrointest Endosc Clin N Am 17 : 533 ~ 544
2. [학술지(정기간행물)] - McCauley M / 2006 / Severe metabolic alkalosis due to pyloric obstruction: case presentation, evaluation, and management / Am J Med Sci 332 : 346 ~ 350
3. [학술지(정기간행물)] - Kahlke V / 2004 / Palliation of metastatic gastric cancer: impact of preoperative symptoms and the type of operation on survival and quality of life / World J Surg 28 : 369 ~ 375
4. [학술지(정기간행물)] - Stupart DA / 2006 / Gastrojejunostomy for gastric outlet obstruction in patients with gastric carcinoma / S Afr J Surg 44 : 52 ~ 54
5. [학술지(정기간행물)] - Khan AZ / 2005 / nitial experience with laparoscopic bypass for upper gastrointestinal malignancy: a new option for palliation of patients with advanced upper gastrointestinal tumors / J Laparoendosc Adv Surg Tech A 15 : 374 ~ 378
2. [학술지(정기간행물)] - McCauley M / 2006 / Severe metabolic alkalosis due to pyloric obstruction: case presentation, evaluation, and management / Am J Med Sci 332 : 346 ~ 350
3. [학술지(정기간행물)] - Kahlke V / 2004 / Palliation of metastatic gastric cancer: impact of preoperative symptoms and the type of operation on survival and quality of life / World J Surg 28 : 369 ~ 375
4. [학술지(정기간행물)] - Stupart DA / 2006 / Gastrojejunostomy for gastric outlet obstruction in patients with gastric carcinoma / S Afr J Surg 44 : 52 ~ 54
5. [학술지(정기간행물)] - Khan AZ / 2005 / nitial experience with laparoscopic bypass for upper gastrointestinal malignancy: a new option for palliation of patients with advanced upper gastrointestinal tumors / J Laparoendosc Adv Surg Tech A 15 : 374 ~ 378
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UCI(KEPA) : I410-ECN-0101-2013-514-002693585