Comparing aboral versus oral pouch with preserved duodenal passage after total gastrectomy: Does the position of the gastric substitute reservoir count?

Katalin Kalmár, Zsolt Káposztás, Gábor Varga, László Cseke, András Papp, O. Horvath

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Background. Total gastrectomy results in a significant weight loss, different postgastrectomy symptoms, and a reduction in quality of life. Elaborate surgical reconstruction methods are evaluated to improve results. The present study compares two types of reconstructions-an aboral pouch with preserved duodenal passage and an oral pouch with preserved duodenal passage-differing only in the site of the pouch. Methods. Twenty-eight patients entered the study. Primary outcome measures-body weight, body mass index, and quality of life, and secondary outcome measures-serum nutritional parameters, scintigraphic small-intestinal passage, and lipid and carbohydrate absorption were measured 6, 12, and 24 months after surgery. Results. No significant differences were found in anthropometric parameters or in quality of life between the groups. Regarding the secondary outcome measures, albumin levels were higher in the oral pouch group, while protein and immunoglobulin-A levels were higher in the aboral pouch group. Conclusion. The site of the reservoir does not significantly influence the outcome after total gastrectomy and reconstruction with a preserved duodenal passage.

Original languageEnglish
Pages (from-to)72-80
Number of pages9
JournalGastric Cancer
Volume11
Issue number2
DOIs
Publication statusPublished - Jun 2008

Fingerprint

Gastrectomy
Stomach
Quality of Life
Outcome Assessment (Health Care)
Immunoglobulin A
Weight Loss
Albumins
Body Mass Index
Body Weight
Carbohydrates
Lipids
Serum
Proteins

Keywords

  • Gastric substitute
  • Nutrition
  • Pouch position
  • Quality of life
  • Total gastrectomy

ASJC Scopus subject areas

  • Oncology
  • Gastroenterology
  • Cancer Research

Cite this

Comparing aboral versus oral pouch with preserved duodenal passage after total gastrectomy : Does the position of the gastric substitute reservoir count? / Kalmár, Katalin; Káposztás, Zsolt; Varga, Gábor; Cseke, László; Papp, András; Horvath, O.

In: Gastric Cancer, Vol. 11, No. 2, 06.2008, p. 72-80.

Research output: Contribution to journalArticle

Kalmár, Katalin ; Káposztás, Zsolt ; Varga, Gábor ; Cseke, László ; Papp, András ; Horvath, O. / Comparing aboral versus oral pouch with preserved duodenal passage after total gastrectomy : Does the position of the gastric substitute reservoir count?. In: Gastric Cancer. 2008 ; Vol. 11, No. 2. pp. 72-80.
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