{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T18:48:36Z","timestamp":1773773316012,"version":"3.50.1"},"reference-count":17,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[1995,5,1]],"date-time":"1995-05-01T00:00:00Z","timestamp":799286400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[1995,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Early postoperative evaluation was prospectively performed in 35 gastric cancer patients after pylorus\u2010preserving gastrectomy (PPG) between 1989 and 1991, comparing the results with those of 29 patients who underwent conventional distal gastrectomy (CDG). Surgical stress, including the duration of operation (149.0\u00b14.3\u00a0minutes) and the total volume of bleeding at operation (97.0\u00b111.2 g), was significantly less in the PPG patients. Early postoperative complications were seen in 31% after PPG and in 35% after CDG. The most frequent complication in PPG patients was remnant gastric stasis (23%). Endoscopy showed redness or erosion (or both) of the gastric remnant in 17% after PPG and in 81% after CDG. Bile regurgitation was demonstrated in 11% after PPG and in 62% after CDG. In PPG patients, the pyloric ring opened and closed during the examination. Gastric pH was 4.2\u00b10.4\u00a0in PPG patients but was significantly lower in CDG patients. The resting gallbladder area, examined by ultrasonography, demonstrated no changes after PPG but was significantly enlarged after CDG (from 11.3\u00b11.2\u00a0cm<jats:sup>2<\/jats:sup> to 15.8\u00b11.5\u00a0cm<jats:sup>2<\/jats:sup> at 2 weeks). The percentage of the original resting gallbladder area at 20\u00a0minutes after injection of cerulein increased slightly in PPG patients but recovered thereafter, whereas in CDG patients it increased significantly (from 39.4\u00b18.3% to 66.7\u00b19.1% at 2 weeks). No gallstone formation was detected throughout the observation period after PPG, whereas after CDG it was detected in two patients at 1 year. These results indicated that PPG for gastric cancer has advantages over CDG in terms of surgical stress, the condition of the gastric remnant, and gallbladder function.<\/jats:p>","DOI":"10.1007\/bf00299190","type":"journal-article","created":{"date-parts":[[2004,10,6]],"date-time":"2004-10-06T17:14:42Z","timestamp":1097082882000},"page":"456-460","source":"Crossref","is-referenced-by-count":49,"title":["Early postoperative evaluation of pylorus\u2010preserving gastrectomy for gastric cancer"],"prefix":"10.1002","volume":"19","author":[{"given":"Masashi","family":"Kodama","sequence":"first","affiliation":[{"name":"Department of Surgery Akita University School of Medicine 1\u20101\u20101, Hondo 010 Akita Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kenji","family":"Koyama","sequence":"additional","affiliation":[{"name":"Department of Surgery Akita University School of Medicine 1\u20101\u20101, Hondo 010 Akita Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Teisao","family":"Chida","sequence":"additional","affiliation":[{"name":"Department of Surgery Akita University School of Medicine 1\u20101\u20101, Hondo 010 Akita Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akira","family":"Arakawa","sequence":"additional","affiliation":[{"name":"Department of Surgery Akita University School of Medicine 1\u20101\u20101, Hondo 010 Akita Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gennady","family":"Tur","sequence":"additional","affiliation":[{"name":"Department of Surgery Akita University School of Medicine 1\u20101\u20101, Hondo 010 Akita Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[1995,5]]},"reference":[{"key":"e_1_2_1_2_1","first-page":"838","article-title":"Pylorus\u2010preserving gastrectomy as an improved operation for gastric ulcer","volume":"61","author":"Maki T.","year":"1967","journal-title":"Surgery"},{"key":"e_1_2_1_3_1","first-page":"92","article-title":"Pylorus\u2010preserving gastrectomy for gastric ulcer: one to nine year follow\u2010up study","volume":"77","author":"Sekine T.","year":"1975","journal-title":"Surgery"},{"key":"e_1_2_1_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9610(87)90586-1"},{"key":"e_1_2_1_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF01655015"},{"key":"e_1_2_1_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF01789211"},{"key":"e_1_2_1_7_1","first-page":"197","article-title":"Electrophysiolosical studies on the motility of the preserved pylorus after pylorus preserving gastrectomy in dog","volume":"87","author":"Ohnishi A.","year":"1978","journal-title":"J. Kyoto Prefectural Univ. Med."},{"key":"e_1_2_1_8_1","doi-asserted-by":"publisher","DOI":"10.1540\/jsmr.27.139"},{"key":"e_1_2_1_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-198610000-00009"},{"key":"e_1_2_1_10_1","doi-asserted-by":"publisher","DOI":"10.5833\/jjgs.25.2732"},{"key":"e_1_2_1_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9610(65)80048-4"},{"key":"e_1_2_1_12_1","first-page":"196","article-title":"Clinical and biochemical evidence of increased gallstone formation after complete vagotomy","volume":"71","author":"Tompkins R.K.","year":"1972","journal-title":"Surgery"},{"key":"e_1_2_1_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(58)91575-7"},{"key":"e_1_2_1_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800551205"},{"key":"e_1_2_1_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9610(83)90175-7"},{"key":"e_1_2_1_16_1","first-page":"591","article-title":"The effect of double vagotomy on the motor activity of the human gallbladder","volume":"32","author":"Johnson F.E.","year":"1952","journal-title":"Surgery"},{"key":"e_1_2_1_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-199201000-00002"},{"key":"e_1_2_1_18_1","first-page":"466","article-title":"Quality of life after resection of stomach by questionnaire","volume":"51","author":"Kodama M.","year":"1990","journal-title":"J. Jpn. Soc. Clin. Surg."}],"container-title":["World Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/BF00299190.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/BF00299190\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/BF00299190","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,12,27]],"date-time":"2023-12-27T15:34:04Z","timestamp":1703691244000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1007\/BF00299190"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1995,5]]},"references-count":17,"journal-issue":{"issue":"3","published-print":{"date-parts":[[1995,5]]}},"alternative-id":["10.1007\/BF00299190"],"URL":"https:\/\/doi.org\/10.1007\/bf00299190","archive":["Portico"],"relation":{},"ISSN":["0364-2313","1432-2323"],"issn-type":[{"value":"0364-2313","type":"print"},{"value":"1432-2323","type":"electronic"}],"subject":[],"published":{"date-parts":[[1995,5]]}}}