title: Relationship between inter-digestive migrating motor complex and quality of life in patients after conventional distal gastrectomy for gastric cancer.
abstract: OBJECTIVE
  To clarify the significance of duodenal interdigestive migrating complex (IMMC) in patients after conventional distal gastrectomy (COG), we studied the relationships between lMMC and postoperative quality of life (QOL).
  
  
  METHODS
  A total of 48 patients (32 males, 16 females; 39 to 68 years, mean, 57.4 years) at two years after CDG for gastric cancer (Billroth I, D2 lymph node dissection, curability A) were divided into two groups (IMMC-positive group; 34 patients, IMMC-negative group; 14 patients) according to the occurrence of IMMC from duodenum and their postoperative QOL was compared.
  
  
  RESULTS
  IMMC was only found from the duodenum, and not from the remnant stomach. 1) Patients in the IMMC-positive group had evidently more appetite and ate more food with less decrease in body weight compared with the IMMC-negative group; 2) Patients in the IMMC-positive group had clearly less symptoms such as early dumping symptoms, symptoms of reflux esophagitis, nausea, abdominal pain, diarrhea, abdominal fullness, borborygmus and diarrhea compared with the negative group.
  
  
  CONCLUSIONS
  The IMMC-positive group showed more satisfactory QOL compared with the negative group.
authors.affiliation: Department of Surgery, Nippon Dental University Hospital, Tokyo, Japan. rtomita@tky.ndu.ac.jp
authors.forename: Ryouichi
authors.initials: R
authors.lastname: Tomita
authors.forename: Kenichi
authors.initials: K
authors.lastname: Sakurai
authors.forename: Shigeru
authors.initials: S
authors.lastname: Fujisaki
authors.forename: Masahiko
authors.initials: M
authors.lastname: Shibata
mesh_terms: D000328:Adult; D000368:Aged; D001066:Appetite; D016009:Chi-Square Distribution; D004386:Duodenum / Q000503:physiopathology*; D004435:Eating; D004942:Esophagitis, Peptic / Q000209:etiology; D005260:Female; D005743:Gastrectomy / Q000009:adverse effects*; D006801:Humans; D008197:Lymph Node Excision; D008297:Male; D008875:Middle Aged; D016065:Myoelectric Complex, Migrating; D011183:Postoperative Complications / Q000209:etiology* / Q000503:physiopathology / Q000523:psychology; D011788:Quality of Life; D013274:Stomach Neoplasms / Q000473:pathology / Q000601:surgery*; D011795:Surveys and Questionnaires; D013997:Time Factors; D016896:Treatment Outcome; D015431:Weight Loss