摘要
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-I gastroduodenostomy or Roux-en-Y gastrojejunostomy for distal gastrectomy is optimal remains controversial, but Roux-en-Y gastrojejunostomy is likely to be preferable. (c) 2014 Baishideng Publishing Group Co., Limited. All rights reserved.
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-Ⅰgastroduodenostomy or Roux-en-Y gastrojejunostomy for distal gastrectomy is optimal remains controversial,but Roux-en-Y gastrojejunostomy is likely to be preferable.
基金
Supported by The National Natural Science Foundation of China,Nos.81071777,81372344 and 81301866
the Scientific Research Program of Public Health Department of Sichuan Province,China,No.120196
