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
- 저널정보
- 대한외과학회 Annals of Surgical Treatment and Research Journal of the Korean Surgical Society Vol.83 No.5
- 발행연도
- 2012.11
- 수록면
- 274 - 280 (7page)
이용수
초록· 키워드
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Purpose: Gastric surgery may potentiate delayed gastric emptying. Billroth I gastroduodenostomy using a circular stapler is the most preferable reconstruction method. The purpose of this study is to analyze the risk factors associated with delayed gastric emptying after radical subtotal gastrectomy with Billroth I anastomosis using a stapler for early gastric cancer. Methods: Three hundred and seventy-eight patients who underwent circular stapled Billroth I gastroduodenostomy after subtotal gastrectomy due to early gastric cancer were analyzed retrospectively. One hundred and eighty-two patients had Billroth I anastomosis using a 25 mm diameter circular stapler, and 196 patients had anastomosis with a 28 or 29 mm diameter circular stapler. Clinicopathological features and postoperative outcomes were evaluated and compared between the two groups. Delayed gastric emptying was diagnosed by symptoms and simple abdomen X-ray with or without upper gastrointestinal series or endoscopy. Results: Postoperative delayed gastric emptying was found in 12 (3.2%) of the 378 patients. Among all the variables, distal margin and circular stapler diameter were significantly different between the cases with delayed
gastric emptying and no delayed gastric emptying. There were statistically significant differences in sex, body mass index, comorbidity, complication, and operation type according to circular stapler diameter. In both univariate and multivariate logistic regression analyses, only the stapler diameter was found to be a significant factor affecting delayed gastric emptying (P = 0.040). Conclusion: In this study, the circular stapler diameter was one of the most significant predictable factors of delayed gastric emptying for Billroth I gastroduodenostomy. The use of a 28 or 29 mm diameter circular stapler rather than a 25 mm diameter stapler in stapled gastroduodenostomy for early gastric cancer can reduce postoperative delayed gastric emptying associated with anastomosic stenosis or edema with relative safety.
gastric emptying and no delayed gastric emptying. There were statistically significant differences in sex, body mass index, comorbidity, complication, and operation type according to circular stapler diameter. In both univariate and multivariate logistic regression analyses, only the stapler diameter was found to be a significant factor affecting delayed gastric emptying (P = 0.040). Conclusion: In this study, the circular stapler diameter was one of the most significant predictable factors of delayed gastric emptying for Billroth I gastroduodenostomy. The use of a 28 or 29 mm diameter circular stapler rather than a 25 mm diameter stapler in stapled gastroduodenostomy for early gastric cancer can reduce postoperative delayed gastric emptying associated with anastomosic stenosis or edema with relative safety.
목차
Abstract
INTRODUCTION
METHODS
RESULTS
DISCUSSION
CONFLICTS OF INTEREST
REFERENCE
참고문헌 (25)
참고문헌 신청
1. [학술지(정기간행물)] - Beyan C / 2007 / Post-gastrectomy anemia: evaluation of 72 cases with post-gastrectomy anemia / Hematology 12 : 81 ~ 84
2. [학술지(정기간행물)] - Ravitch MM / 1979 / A stapling instrument for end-to-end inverting anastomoses in the gastrointestinal tract / Ann Surg 189 : 791 ~ 797
3. [학술지(정기간행물)] - Oka M / 1995 / A hemi-double stapling method to create the Billroth-I anastomosis using a detachable device / J Am Coll Surg 181 : 366 ~ 368
4. [학술지(정기간행물)] - Hulme Moir I / 1979 / The role of altered gastric emptying in the initiation of clinical dumping / Scand J Gastroenterol 14 : 463 ~ 467
5. [학술지(정기간행물)] - Fujiwara Y / 1996 / Relationship between gastroesophageal reflux and gastric emptying after distal gastrectomy / Am J Gastroenterol 91 : 75 ~ 79
2. [학술지(정기간행물)] - Ravitch MM / 1979 / A stapling instrument for end-to-end inverting anastomoses in the gastrointestinal tract / Ann Surg 189 : 791 ~ 797
3. [학술지(정기간행물)] - Oka M / 1995 / A hemi-double stapling method to create the Billroth-I anastomosis using a detachable device / J Am Coll Surg 181 : 366 ~ 368
4. [학술지(정기간행물)] - Hulme Moir I / 1979 / The role of altered gastric emptying in the initiation of clinical dumping / Scand J Gastroenterol 14 : 463 ~ 467
5. [학술지(정기간행물)] - Fujiwara Y / 1996 / Relationship between gastroesophageal reflux and gastric emptying after distal gastrectomy / Am J Gastroenterol 91 : 75 ~ 79
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UCI(KEPA) : I410-ECN-0101-2014-514-000804342