Ann Surg Treat Res.  2017 Dec;93(6):310-315. 10.4174/astr.2017.93.6.310.

Clinical features of gastric emptying after distal gastrectomy

• Kim DH
• Yun HY
• Song YJ
• Ryu DH
• Han HS
• Han JH
• Kim KB
• Yoon SM
• Youn SJ

• KMID: 2396872
• DOI: http://doi.org/10.4174/astr.2017.93.6.310

Abstract

PURPOSE
Gastric emptying may influence the quality of life of patients who undergo distal gastrectomy. Little is known, however, about gastric emptying after distal gastrectomy. The aim of our study was to investigate gastric emptying patterns after distal gastrectomy.
METHODS
This gastric-emptying study investigated patients who underwent distal gastrectomy in the 6 months or more before May 2008 to July 2013 at Chungbuk National University Hospital with a study sample of 205 patients. We analyzed patterns of gastric emptying.
RESULTS
Delayed gastric emptying was found in 109 of the 205 patients (53.2%). Food stasis was more frequent in a group with delayed gastric emptying. In multivariate analysis, risk factors for gastroparesis were laparoscopic operation (hazard ratio [HR], 2.731; P = 0.008) and duration of less than 24 months after distal gastrectomy (HR, 2.795; P = 0.001). Delayed gastric emptying tended to decrease with duration of the postoperative period.
CONCLUSION
Delayed gastric emptying is common in distal gastrectomy, and is related to laparoscopic operation and duration of the postoperative period. Food stasis was more frequent in a group with delayed gastric emptying.

Keyword

Gastrectomy; Gastroparesis; Gastric neoplasms; Quality of life

MeSH Terms

Chungcheongbuk-do
Gastrectomy*
Gastric Emptying*
Gastroparesis
Humans
Multivariate Analysis
Postoperative Period
Quality of Life
Risk Factors
Stomach Neoplasms

Figure

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  Fig. 1 Chronological changes in gastroparesis after distal gastrectomy.

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