title: Digestive tract reconstruction pattern as a determining factor in postgastrectomy quality of life.
abstract: Postgastrectomy quality of life (QoL) is affected by various symptoms, and compared with the preoperative baseline QoL, is typically impaired for the first 6 mo after surgery. Thereafter, improvement to a stable QoL is observed at approximately 12 mo postoperatively. We consider the digestive tract reconstruction pattern to be a determining factor in postgastrectomy QoL among gastric cancer patients, and believe it requires further discussion. Proximal gastrectomy is associated with the worst postoperative QoL among gastrectomy procedures and should be performed cautiously. The trend of better QoL provided by the pouch procedure of total gastrectomy requires further robust support. Whether the use of Billroth-I gastroduodenostomy or Roux-en-Y gastrojejunostomy for distal gastrectomy is optimal remains controversial, but Roux-en-Y gastrojejunostomy is likely to be preferable.
authors.affiliation: Xin-Zu Chen, Wei-Han Zhang, Kun Yang, Jian-Kun Hu, Department of Gastrointestinal Surgery, West China Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China.
authors.forename: Xin-Zu
authors.initials: XZ
authors.lastname: Chen
authors.affiliation: Xin-Zu Chen, Wei-Han Zhang, Kun Yang, Jian-Kun Hu, Department of Gastrointestinal Surgery, West China Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China.
authors.forename: Wei-Han
authors.initials: WH
authors.lastname: Zhang
authors.affiliation: Xin-Zu Chen, Wei-Han Zhang, Kun Yang, Jian-Kun Hu, Department of Gastrointestinal Surgery, West China Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China.
authors.forename: Kun
authors.initials: K
authors.lastname: Yang
authors.affiliation: Xin-Zu Chen, Wei-Han Zhang, Kun Yang, Jian-Kun Hu, Department of Gastrointestinal Surgery, West China Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China.
authors.forename: Jian-Kun
authors.initials: JK
authors.lastname: Hu
mesh_terms: D004385:Duodenostomy; D005743:Gastrectomy / Q000009:adverse effects; D015390:Gastric Bypass; D006801:Humans; D010535:Laparoscopy; D011788:Quality of Life; D019651:Plastic Surgery Procedures / Q000009:adverse effects; D013997:Time Factors; D016896:Treatment Outcome
keywords: Digestive tract; Gastrectomy; Gastric cancer; Quality of life; Reconstruction