Electrogastrographic activity in patients who received proximal gastrectomy plus jejunal interposition or total gastrectomy plus jejunal interposition.
Electrogastrograms (EGGs) were recorded in patients both before and after receiving proximal gastrectomy plus jejunal interposition (PGJI) or just after receiving total gastrectomy plus jejunal interposition (TGJI). Intraluminal pressure was also recorded in some postoperative patients. The EGG 3 cpm component (2.5-4.9 cpm) remained after PGJI, but subsequently decreased with a significant reduction in the preoperative to postoperative ratio of the 3 cpm components (P<0.05). The mean frequency of the 3 cpm components increased significantly after PGJI (P<0.05) and its instability factor increased. The EGG 10 cpm components became relatively dominant compared to other frequency components in 2 out of 8 of patients having PGJI but the mean amplitude of 10 cpm decreased. In TGJI patients, only the 10 cpm component was conspicuous in EGG as in the case of total gastrectomy and Roux en Y anastomosis procedures. The spectral frequencies of intraluminal pressure in the interposed jejunum were similar to the EGG of 10 cpm components both in the case of PGJI and TGJI patients. In conclusion, surface EGG could record the electrical activities of the interposed jejunum more easily in patients having had TGJI than in PGJI.
Homma
Shinji
S
Division of Organ Physiology, Department of Regenerative and Transplant Medicine, Institute of Medicine and Dentistry, Niigata University, Academy Assembly, Niigata 951-8510, Japan.
Satoh
Kenji
K
Matsuo
Hitoshi
H
Yagi
Minoru
M
Hasegawa
Jun
J
Maruta
Tomoyuki
T
Watanabe
Naozumi
N
Iiai
Tsuneo
T
Hatakeyama
Katsuyoshi
K
D000713:Anastomosis, Roux-en-Y; D004576:Electromyography; D005743:Gastrectomy / Q000379:methods; D006801:Humans; D007583:Jejunum / Q000502:physiology* / Q000601:surgery*; D008875:Middle Aged; D009130:Muscle, Smooth / Q000502:physiology / Q000601:surgery; D011182:Postoperative Care; D011300:Preoperative Care; D013270:Stomach / Q000502:physiology* / Q000601:surgery*