The nutritional advantages of proximal gastrectomy for early gastric cancer.
OBJECTIVE
Total gastrectomy has generally been performed for the treatment of early gastric cancers involving the upper third of the stomach. However, proximal gastrectomy has also been used for the treatment of cardial early gastric cancer.


METHODS
To compare the nutritional parameters after proximal gastrectomy with the parameters after total gastrectomy, and to also determine the advantages of the postoperative nutritional states, a retrospective analysis was made to evaluate the nutritional status of patients with early gastric cancer who underwent proximal gastrectomy with those undergoing total gastrectomy. Forty-nine patients were studied for one year after surgery; 9 underwent proximal gastrectomy while 40 had a total gastrectomy.


RESULTS
Proximal gastrectomy allowed the patient to better maintain both their nutritional parameters and body weight.


CONCLUSIONS
Proximal gastrectomy was thus found to be a beneficial modality for early gastric cancer patients regarding terms of the postoperative nutritional status, in comparison to total gastrectomy.
Hinoshita
E
E
Department of Surgery, Matsuyama Red Cross Hospital, Matsuyama, Japan. hinoshi@biochem1.med.kyushu-u.ac.jp
Takahashi
I
I
Onohara
T
T
Nishizaki
T
T
Matsusaka
T
T
Wakasugi
K
K
Ishikawa
T
T
Kume
K
K
Maehara
Y
Y
Sugimachi
K
K
D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005743:Gastrectomy / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D009752:Nutritional Status; D011183:Postoperative Complications / Q000209:etiology*; D012189:Retrospective Studies; D013274:Stomach Neoplasms / Q000473:pathology / Q000601:surgery*