Universität zu Köln

Zhu, Chun-Chao, Kim, Tae-Han, Berlth, Felix ORCID: 0000-0002-3780-0728, Park, Shin-Hoo, Suh, Yun-Suhk, Kong, Seong-Ho, Lee, Hyuk-Joon, Cao, Hui and Yang, Han-Kwang (2018). Clinical outcomes of intraoperative manual dilatation of pylorus in pylorus-preserving gastrectomy: a retrospective analysis. Gastric Cancer, 21 (5). S. 864 - 871. NEW YORK: SPRINGER. ISSN 1436-3305

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Abstract

Delayed gastric emptying is one of the most disturbing complications of pylorus-preserving gastrectomy (PPG) and it increases hospital stay. We investigated the clinical outcome of intraoperative manual dilatation of the pylorus as a preventive method of pyloric spasm after PPG. We reviewed gastric cancer patients who underwent PPG between January 2014 and December 2016 at Seoul National University Hospital by a single surgeon. During operation, manual dilatation (MD) was performed after laparoscopic dissection and gastric resection by mini-laparotomy. Pyloric stenosis was diagnosed by the finding of severe narrowing in pylorus on upper gastrointestinal series (UGIS), if patients suffered from postprandial abdominal fullness and discomfort. Patient's characteristics, surgical data and complication data were reviewed and compared between the groups (MD vs non-MD). 232 patients were included in this study. 93 patients underwent manual dilatation (40.1%). The overall complication rate was 12.9% in the MD group and 18.7% in the non-MD group (p = 0.242). Mean postoperative stay was 10.0 +/- 5.8 in the MD group versus 10.9 +/- 8.4 in the non-MD group (p = 0.304). Only one case suffered pylorus stenosis in the MD group (1.1%) but there were twelve cases seen in the non-MD group (8.6%), which reflects a significant difference (p = 0.019). Simple intraoperative manual dilatation of pylorus may provide prevention from pyloric stenosis caused by pyloric spasms for patients who undergo PPG.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Zhu, Chun-Chao UNSPECIFIED UNSPECIFIED UNSPECIFIED Kim, Tae-Han UNSPECIFIED UNSPECIFIED UNSPECIFIED Berlth, Felix UNSPECIFIED orcid.org/0000-0002-3780-0728 UNSPECIFIED Park, Shin-Hoo UNSPECIFIED UNSPECIFIED UNSPECIFIED Suh, Yun-Suhk UNSPECIFIED UNSPECIFIED UNSPECIFIED Kong, Seong-Ho UNSPECIFIED UNSPECIFIED UNSPECIFIED Lee, Hyuk-Joon UNSPECIFIED UNSPECIFIED UNSPECIFIED Cao, Hui UNSPECIFIED UNSPECIFIED UNSPECIFIED Yang, Han-Kwang UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-173619
DOI:	10.1007/s10120-018-0814-1
Journal or Publication Title:	Gastric Cancer
Volume:	21
Number:	5
Page Range:	S. 864 - 871
Date:	2018
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	1436-3305
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language EARLY GASTRIC-CANCER; CONVENTIONAL DISTAL GASTRECTOMY; MULTICENTER; STASIS; COHORT Multiple languages Oncology; Gastroenterology & Hepatology Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/17361