{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,24]],"date-time":"2025-04-24T04:09:18Z","timestamp":1745467758490},"reference-count":32,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2006,7,21]],"date-time":"2006-07-21T00:00:00Z","timestamp":1153440000000},"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":[[2006,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>We investigated the relationship between interdigestive migrating motor complex, phase III (IMMC\u2010pIII) and postoperative quality of life (QOL) in pylorus\u2010preserving gastrectomy (PPG) patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>A total of 40 patients (26\u00a0men and 14 women; average age 59.4 years) 5 to 7.5 years after PPG for early gastric cancer (Billroth I) (average 6 years and 3\u00a0months) were divided into two groups according to the occurrence of IMMC\u2010pIII from the duodenum, and their postoperative quality of life (QOL) was compared.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>As for appetite, \u201cNo change compared with before operation\u201d was significantly more frequent in the IMMC\u2010pIII positive group compared with the negative group (<jats:italic>P<\/jats:italic> = 0.0002). Food consumption per meal compared with normal; \u201c80% or more\u201d was significantly more frequent in the IMMC\u2010pIII positive group than the negative group (<jats:italic>P<\/jats:italic> = 0.0002). Body weight loss during 5 years after surgery; \u201c6\u00a0kg or more\u201d was significantly more frequent in the IMMC\u2010pIII negative group than the positive group (<jats:italic>P<\/jats:italic> = 0.0002). Early dumping symptoms did not occur in any patients of either group. Reflux esophagitis and nausea; no patients in the IMMC\u2010pIII positive group experienced these symptoms, which was significantly different from the negative group (<jats:italic>P<\/jats:italic> = 0.0018). Abdominal pain occurred but was significantly less frequent in the IMMC\u2010pIII positive group than in the negative group (<jats:italic>P<\/jats:italic> = 0.0023). Epigastric fullness occurred but was less frequent in the IMMC\u2010pIII positive group compared with the negative group (<jats:italic>P<\/jats:italic> &lt; 0.0001). Gastric stasis of the remnant stomach was significantly more frequent in the IMMC\u2010pIII negative group than in the positive group (<jats:italic>P<\/jats:italic> &lt; 0.0001). Gholelithiasis was significantly more frequent in the IMMC\u2010pIII negative group than in the positive group (<jats:italic>P<\/jats:italic> = 0.0119).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>These results showed more satisfactory QOL in the IMMC\u2010PIII positive group than in the negative group.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-005-0676-7","type":"journal-article","created":{"date-parts":[[2006,7,18]],"date-time":"2006-07-18T13:15:41Z","timestamp":1153228541000},"page":"1459-1467","source":"Crossref","is-referenced-by-count":1,"title":["Duodenal Interdigestive Migrating Motor Complex in Patients 5 Years or More after Pylorus\u2010preserving Gastrectomy for Early Gastric Cancer"],"prefix":"10.1002","volume":"30","author":[{"given":"Ryouichi","family":"Tomita","sequence":"first","affiliation":[{"name":"Department of Surgery Nippon Dental University School of Dentistry at Tokyo 2\u20103\u201016 Fujimi 102\u20108158 Chiyoda\u2010ku Tokyo 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