Skip to main content

ORIGINAL RESEARCH article

Front. Oncol.
Sec. Gastrointestinal Cancers: Gastric and Esophageal Cancers
Volume 14 - 2024 | doi: 10.3389/fonc.2024.1421643

Patient-reported gastrointestinal symptoms in gastric cancer after laparoscopic distal gastrectomy

Provisionally accepted
Shuo-meng Xiao Shuo-meng Xiao Zhi Ding Zhi Ding Zhao Fazhi Zhao Fazhi Chao Yang Chao Yang Ping Zhao Ping Zhao Xiaodong Chen Xiaodong Chen Xiang Zhou Xiang Zhou Huali Zhou Huali Zhou Rui Xu Rui Xu *
  • Sichuan Cancer Hospital, Chengdu, China

The final, formatted version of the article will be published soon.

    This study aimed to compare postoperative gastrointestinal symptoms between patients who underwent laparoscopic distal gastrectomy with Roux-en-Y (R-Y) and Billroth-II with Braun (B-II B) reconstruction. Methods: This observational study retrospectively analyzed 151 patients (110 in R-Y group and 41 in B-II B group) who underwent laparoscopic distal gastrectomy from January 2020 to December 2021. A comparison was made regarding surgical outcomes, perioperative nutritional and inflammatory markers, postoperative dietary patterns, and gastrointestinal symptoms between the two groups. Results: The operation time was longer in the R-Y group than the B-II B group (261.00 ± 56.17 min versus 239.88 ± 57.78 min, p = 0.046). However, there were no significant differences in the length of hospital stay, ASA classification, complications, nutritional and inflammatory indexes, or recovery of postoperative diet between the two groups. Additionally, there were no significant differences in the occurrence of postoperative gastrointestinal symptoms in the post-discharge week (PDW) 1 and postoperative month (POM) 1 between the B-II B and R-Y groups. Conclusions: Abdominal distention emerged as the main gastrointestinal symptom burden in patients with gastric cancer undergoing laparoscopic distal gastrectomy. Both Billroth-II with Braun and R-Y reconstructions exhibited a high and similar incidence of gastrointestinal symptoms in the short term. Therefore, medical staff should pay attention to the management of gastrointestinal symptoms in these patients postoperatively.

    Keywords: gastric cancer, Postoperative gastrointestinal symptoms, Laparoscopic distal gastrectomy, Roux-en-Y, Billroth-II with Braun anastomosis

    Received: 22 Apr 2024; Accepted: 07 Oct 2024.

    Copyright: © 2024 Xiao, Ding, Fazhi, Yang, Zhao, Chen, Zhou, Zhou and Xu. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Rui Xu, Sichuan Cancer Hospital, Chengdu, China

    Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.