Radiologic intervention due to delayed gastric emptying after pylorus preserving gastrectomy for gastric cancer does not affect pyloric function.
Gastroparesis
Pylorus-preserving gastrectomy
Stomach neoplasms
Treatment outcome
Journal
Korean journal of clinical oncology
ISSN: 2288-4084
Titre abrégé: Korean J Clin Oncol
Pays: Korea (South)
ID NLM: 9918521386106676
Informations de publication
Date de publication:
Dec 2020
Dec 2020
Historique:
received:
29
09
2020
revised:
08
11
2020
accepted:
18
11
2020
entrez:
22
3
2023
pubmed:
1
12
2020
medline:
1
12
2020
Statut:
ppublish
Résumé
The purpose of this study is to evaluate whether radiologic intervention in the pylorus decreases its function for delayed gastric emptying (DGE) patients after pylorus preserving gastrectomy (PPG) for gastric cancers and to determine the optimal interventional algorithm. PPG patients who underwent intervention for DGE from January 2013 to December 2017 and a control group using propensity score matching were identified. Pyloric function was compared by subjective symptoms, postoperative upper gastrointestinal series at 3 months (short-term function), and esophagogastroduodenoscopy findings at 12 months (long-term function). Serum albumin levels and body weight change, 6 months and 12 months postoperatively, were compared to evaluate nutritional status. Interventional success rate, mean hospital stay, and recurrence of DGE were analyzed to determine the optimal intervention plan. Fifty-one out of 677 patients (7.53%) received intervention. There was no difference in pyloric function and nutritional status between the intervention and control groups. The interventional success rate for first-time balloon dilatation was 41.7% (20/48). If a second intervention was required and balloon dilatation was done, the success rate was 45.5% (5/11). However, if stent insertion was done, the success rate was 100% (17/17). Subsequent stent insertion after balloon dilatation resulted in a shorter mean hospital stay. Intervention including stent insertion had a lower recurrence of DGE than balloon only intervention (1.96% vs. 5.88%, P=0.041). Radiologic intervention did not decrease long-term pyloric function. For treating DGE, if at first balloon dilatation fails, retrievable stent insertion can be considered as a second choice.
Identifiants
pubmed: 36945716
doi: 10.14216/kjco.20014
pii: kjco-16-2-89
pmc: PMC9942724
doi:
Types de publication
Journal Article
Langues
eng
Pagination
89-95Informations de copyright
Copyright © 2020 Korean Society of Surgical Oncology.
Déclaration de conflit d'intérêts
CONFLICT OF INTEREST No potential conflict of interest relevant to this article was reported.
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