Digestive tract reconstruction pattern as a determining factor in postgastrectomy quality of life

Postgastrectomy quality of life(QoL)is affected by various symptoms,and compared with the preoperative baseline QoL,is typically impaired for the first 6 mo after surgery.Thereafter,improvement to a stable QoL is observed at approximately 12 mo postoperatively.We consider the digestive tract reconst...

Full description

Saved in:
Bibliographic Details
Published in:World journal of gastroenterology : WJG 2014-01, Vol.20 (1), p.330-332
Main Authors: Chen, Xin-Zu, Zhang, Wei-Han, Yang, Kun, Hu, Jian-Kun
Format: Article
Language:English
Subjects:
cancer
Duodenostomy
Gastrectomy
Gastrectomy - adverse effects
Gastric
Gastric Bypass
Humans
Laparoscopy
Letters To The Editor
life
Quality
Quality of Life
Reconst
Reconstructive Surgical Procedures - adverse effects
Time Factors
Treatment Outcome
Citations: Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Postgastrectomy quality of life(QoL)is affected by various symptoms,and compared with the preoperative baseline QoL,is typically impaired for the first 6 mo after surgery.Thereafter,improvement to a stable QoL is observed at approximately 12 mo postoperatively.We consider the digestive tract reconstruction pattern to be a determining factor in postgastrectomy QoL among gastric cancer patients,and believe it requires further discussion.Proximal gastrectomy is associated with the worst postoperative QoL among gastrectomy procedures and should be performed cautiously.The trend of better QoL provided by the pouch procedure of total gastrectomy requires further robust support.Whether the use of Billroth-â… gastroduodenostomy or Roux-en-Y gastrojejunostomy for distal gastrectomy is optimal remains controversial,but Roux-en-Y gastrojejunostomy is likely to be preferable.
ISSN:1007-9327
2219-2840
DOI:10.3748/wjg.v20.i1.330