Impact of Tumor Location on the Quality of Life of Patients Undergoing Total or Proximal Gastrectomy

Fujisaki Muneharu; Nomura Takashi; Yamashita Hiroharu; Uenosono Yoshikazu; Fukunaga Tetsu; Otsuji Eigo; Takahashi Masahiro; Matsumoto Hideo; Oshio Atsushi; Nakada Koji

doi:10.5230/jgc.2022.22.e23

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자료유형: 학술저널

저자정보: Fujisaki Muneharu (Department of Surgery The Jikei University School of Medicine Tokyo Japan.) Nomura Takashi (Department of Surgery Yamagata Prefectural Central Hospital Yamagata Japan.) Yamashita Hiroharu (Department of Digestive Surgery Nihon University School of Medicine Tokyo Japan.) Uenosono Yoshikazu (Department of Digestive Surgery Imamura General Hospital Kagoshima Japan.) Fukunaga Tetsu (Department of Gastroenterology and Minimally Invasive Surgery Juntendo University School of Medicin) Otsuji Eigo (Division of Digestive Surgery Department of Surgery Kyoto Prefectural University of Medicine Kyoto) Takahashi Masahiro (Department of Surgery JCHO Sapporo Hokushin Hospital Sapporo Japan.) Matsumoto Hideo (Mitsugi General Hospital Hiroshima Japan.) Oshio Atsushi (Faculty of Letters Arts and Sciences Waseda University Tokyo Japan.) Nakada Koji (Department of Laboratory Medicine The Jikei University School of Medicine Tokyo Japan.)

저널정보: 대한위암학회 Journal of Gastric Cancer Journal of Gastric Cancer 제22권 제3호

발행연도: 2022.7

수록면: 235 - 247 (13page)

DOI: 10.5230/jgc.2022.22.e23

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Purpose Most studies have investigated the differences in postgastrectomy quality of life (QOL) based on the surgical procedure or reconstruction method adopted; only a few studies have compared QOL based on tumor location. This large-scale study aims to investigate the differences in QOL between patients with esophagogastric junction cancer (EGJC) and those with upper third gastric cancer (UGC) undergoing the same gastrectomy procedure to evaluate the impact of tumor location on postoperative QOL. Methods The Postgastrectomy Syndrome Assessment Scale-45 (PGSAS-45) questionnaire was distributed in 70 institutions to 2,364 patients who underwent gastrectomy for EGJC or UGC. A total of 1,909 patients were eligible for the study, and 1,744 patients who underwent total gastrectomy (TG) or proximal gastrectomy (PG) were selected for the final analysis. These patients were divided into EGJC and UGC groups; thereafter, the PGSAS-45 main outcome measures (MOMs) were compared between the two groups for each type of gastrectomy. Results Among the post-TG patients, only one MOM was significantly better in the UGC group than in the EGJC group. Conversely, among the post-PG patients, postoperative QOL was significantly better in 6 out of 19 MOMs in the UGC group than in the EGJC group. Conclusions Tumor location had a minimal effect on the postoperative QOL of post-TG patients, whereas among post-PG patients, there were definite differences in postoperative QOL between the two groups. It seems reasonable to conservatively estimate the benefits of PG in patients with EGJC compared to those in patients with UGC.

#Esophagogastric Junction #Gastric cancer #Gastrectomy #Quality of life

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