Symptom evaluation of long-term postoperative outcomes after pylorus-preserving gastrectomy for XXXX .

@entity1 @entity18654 @entity5990 @entity11315 @entity356
BACKGROUND: Since the early 1990s, pylorus-preserving gastrectomy ( @entity18654 ) has been used in the treatment of @entity1 with @entity356 in order to reduce postprandial symptoms. To date, there have been few reports of long-term symptom evaluation following this procedure. The aim of this study was to evaluate long-term postoperative outcomes after @entity18654 . METHODS: Three hundred and ninety-seven @entity1 with @entity356 were enrolled in this study: 194 @entity1 who underwent @entity18654 and 203 who underwent distal gastrectomy with Billroth-I reconstruction (DGBI). We compared the symptoms for the two groups in a questionnaire on postoperative functional outcomes, endoscopy findings and the appearance of @entity5990 after surgery. RESULTS: The incidence of symptoms suggesting @entity11315 was significantly lower in the @entity18654 group compared with the DGBI group (P < 0.05). The incidences of disturbed bowel habit and frequent flatus were significantly lower in the @entity18654 than in the DGBI group. The average relative body weight (actual BW/ BW immediately before the surgery) was significantly better in the @entity18654 than in the DGBI group (P < 0.001). CONCLUSION: The long-term results show that @entity18654 has clear advantages over DGBI in terms of postoperative symptoms and functional outcomes. These results imply that @entity18654 should be the recommended procedure for early @entity356 located in the middle third of the stomach.
