[Comparision between proximal gastrectomy and total gastrectomy in early gastric cancer].
OBJECTIVE
The purpose of this study was to evaluate clinical outcome of proximal and total gastrectomy regarding reflux esophagitis, nutritional state, and anemia in early gastric cancer.


METHODS
94 patients with early gastric cancer were included from January 2001 to January 2007 at Chungnam National University Hospital. Of whom 40 patients (31 men and 9 woman) had proximal gastrectomy (PG) and 54 patients (44 men and 10 woman) had total gastrectomy (TG). We reviewed all their medical and surgical record with surveying for gastrointestinal symptoms and reflux symptoms over the phone.


RESULTS
There were no significant differences between basic, surgical, and histopathologic characteristics. Bile reflux symptoms and heart burn symptoms were more common and severe in the TG group. The incidences of endoscopically detected reflux esophagitis were about 60% in the TG group and about 30% in the PG group. The hemoglobin levels were significantly higher in the PG group after the operation and were gradually decreased in the TG as the time went. The levels of laboratory variables such as total protein, albumin, and total cholesterol were lower in the TG group than in the PG group after the operation. However, stoma stricture after operation developed in the PG group more often than in the TG group, and esophageal balloon dilatations were performed more frequently in the PG group.


CONCLUSIONS
PG is favorable for proximal early gastric cancer in terms of reduced reflux esophagitis, anemia, and malnutrition except the stricture at esophagogastrostomy site.
Department of Internal Medicine, Chungnam National University College of Medicine, Daejeon, Korea.
Eun Mi
EM
Kim
Hyun Yong
HY
Jeong
Eom Seok
ES
Lee
Hee Seok
HS
Moon
Jae Kyu
JK
Sung
Seok Hyun
SH
Kim
Byungx Seok
BS
Lee
Seung Moo
SM
Noh
Kyung Sang
KS
Song
Kyung Sook
KS
Shin
June Sick
JS
Cho
D000328:Adult; D000368:Aged; D002404:Catheterization; D004942:Esophagitis, Peptic / Q000175:diagnosis; D005260:Female; D005743:Gastrectomy; D006454:Hemoglobins / Q000032:analysis; D006801:Humans; D008297:Male; D008875:Middle Aged; D012709:Serum Albumin / Q000032:analysis; D012737:Sex Factors; D013274:Stomach Neoplasms / Q000601:surgery*
D006454:Hemoglobins; D012709:Serum Albumin