TITLE

Clinical Application of Modified Double Tracks Anastomosis in Proximal Gastrectomy

AUTHOR(S)
QUN ZHAO; YONG LI; WEIJIA GUO; ZHIDONG ZHANG; ZHIXUE MA; ZHIKAI JIAO
PUB. DATE
December 2011
SOURCE
American Surgeon;Dec2011, Vol. 77 Issue 12, p1593
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
We compared the outcome of two surgical alimentary canal reconstruction methods after proximal gastrectomy. Three hundred ninety-six patients who underwent a radical proximal gastrectomy were randomized into two groups. Group Awas treated withmodified double tracks anastomosis, and Group B was treated with esophagus--remnant stomach direct anastomosis. Outcome mea- sures were hematological indices, prognostic nutritional index (PNI), plasma hormone concen- trations, and Visick index. The operative times in Groups A and B were 210 6 53 and 150 6 75 minutes and the hemorrhage volume was 173 6 67 and 150 6 75mL, respectively. Sixmonths after operation, values of hemoglobin concentration, body weights, and PNI indices were significantly increased in Group A compared with Group B. Levels of gastrin and somatostatin were obviously less than preoperative values and levels of cholecystokinin and motilin were significantly higher than preoperative values in both groups. All patients of Group A were classified into Visick index Grades I and II, whereas only 70.37 per cent of Group B belonged to Visick index Grades I and II postoperatively. The overall 3-year survival rate was not significantly different in both groups. Modified double tracks anastomosis as an alimentary canal reconstructive method for radical proximal gastrectomy showed better outcomes than esophagus--remnant stomach direct anastomosis.
ACCESSION #
67744902

 

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