論文

2021年3月30日

Differential gastric emptiness according to preoperative stomach position in neurological impaired patients who underwent laparoscopic fundoplication and gastrostomy.

Surgery today
  • Makoto Matsukubo
  • Tatsuru Kaji
  • Shun Onishi
  • Toshio Harumatsu
  • Ayaka Nagano
  • Mayu Matsui
  • Masakazu Murakami
  • Koshiro Sugita
  • Keisuke Yano
  • Koji Yamada
  • Waka Yamada
  • Mitsuru Muto
  • Satoshi Ieiri
  • 全て表示

51
12
開始ページ
1918
終了ページ
1923
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1007/s00595-021-02274-w

PURPOSE: We sometimes experienced prolonged delayed gastric emptying (DGE) in neurologically impaired patients undergoing laparoscopic fundoplication and gastrostomy. We explored the difference in the DGE rate according to the preoperative stomach position. METHODS: Thirty-two neurological impaired patients who underwent laparoscopic fundoplication and gastrostomy between 2015 and 2019 were classified into two groups based on stomach position: non-elevated stomach position (NESP) and elevated stomach position (ESP). Patients' characteristics, operative result and postoperative gastric emptying were reviewed. RESULTS: The 11 ESP patients were significantly older than the 21 NESP patients (p < 0.05). The ESP patients had a significantly heavier body weight (BW) than the NESP patients (p < 0.05). The time taken (days) to reduce gastric drainage (days, below BW × 10 ml) in the NESP (4.3 ± 3.6) was significantly longer than that of ESP (1.3 ± 1.6) (p < 0.05). The time taken (days) to achieve full enteral nutrition in the NESP (14.1 ± 8.9) was significantly longer than that of the ESP patients (8.8 ± 3.1) (p < 0.05). CONCLUSION: Elevated stomach position (ESP) patients archived full enteral nutrition earlier than NESP patients after laparoscopic fundoplication and gastrostomy. Stomach position correction might, therefore, be involved in the incidence of DGE.

リンク情報
DOI
https://doi.org/10.1007/s00595-021-02274-w
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/33786644
ID情報
  • DOI : 10.1007/s00595-021-02274-w
  • PubMed ID : 33786644

エクスポート
BibTeX RIS