アンケート調査による幽門保存胃切除術の長期遠隔成績

Abstract

A long-term follow-up study using a questionnaire was conducted in order to assess clinical results of pylorus-preserving gastrectomy (PPG). Of 54 patients who underwent PPG, 45 patients followed for more than seven years were analyzed in the late postoperative state. These patients were compared with patients who underwent Billroth Ⅰ resection (BⅠ) by their responses to datailed questionnaires. Through the long-term follow-up results, PPG was found to be similar to BⅠ with regard to social life, meal intake, sense of abdominal pressure, heartburn sensation, recurrence rate and satisfaction rate, but superior to BⅠ with regard to gain of body weight, nausea, diarrhea and symptoms of dumping. The results suggest that PPG is worthy of trial as a surgical treatment of gastric ulcer.