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- Title
Analysis of Fat Digestive and Absorptive Function after Subtotal Gastrectomy by a C-Labeled Mixed Triglyceride Breath Test.
- Authors
Nakamura, Hiroyuki; Murakami, Yoshiaki; Morifuji, Masahiko; Uemura, Kenichiro; Hayashidani, Yasuo; Sudo, Takeshi; Ohge, Hiroki; Sueda, Taijiro
- Abstract
Background/Aim: In the choice of reconstructions, digestive and absorptive disturbances, resulting in weight loss after subtotal gastrectomy, remain a problem. The aim of this study was to compare fat absorptive function after Billroth I (B-I) and Roux-en-Y (RY) reconstructions after subtotal gastrectomy for gastric cancer. Methods: A 13C-labeled mixed triglyceride breath test was performed in 31 patients after subtotal gastrectomy and in 15 healthy volunteers to assess fat digestive and absorptive function. Seventeen B-I reconstructions and 14 RY reconstructions were performed after subtotal gastrectomy. Fat digestive and absorptive function was determined by percent 13CO2 cumulative dose at 7 h. Relationship between fat absorptive function and perioperative factors were analyzed. Results: Gender distribution, mean age, pathological staging, level of lymph node dissection, preservative procedure of the vagus nerve and mean follow-up period in the two surgical groups did not differ significantly. Only the type of reconstruction (p = 0.024) was associated with differences in fat digestive and absorptive function by univariate analysis: B-I reconstruction was superior to RY reconstruction. Conclusions: Fat digestive and absorptive function after B-I reconstruction was superior to that after RY reconstruction, probably because the B-I reconstruction was the procedure that permitted food passage through the duodenum. Copyright © 2009 S. Karger AG, Basel
- Subjects
GASTRECTOMY; TRIGLYCERIDES; BREATH tests; ABSORPTION (Physiology); STOMACH surgery
- Publication
Digestion, 2009, Vol 80, Issue 2, p98
- ISSN
0012-2823
- Publication type
Article
- DOI
10.1159/000220098