{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,20]],"date-time":"2026-03-20T20:40:54Z","timestamp":1774039254145,"version":"3.50.1"},"reference-count":26,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2008,2,7]],"date-time":"2008-02-07T00:00:00Z","timestamp":1202342400000},"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":[[2008,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Pylorus\u2010preserving gastrectomy (PPG) was originally a treatment option in gastric ulcer surgery and is now being performed as a limited surgery in some early gastric cancer cases. This study was designed to evaluate the postoperative functional characteristics of PPG versus conventional distal gastrectomy with Billroth I anastomosis (BI).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Patients who underwent PPG (study group) between November 1999 and April 2003 were enrolled and BI patients (control group) were matched for number, gender, age, weight, height, stage, and follow\u2010up period. We evaluated postprandial symptoms and nutritional status. Gastric emptying studies with a 99mTc gamma camera, follow\u2010up endoscopies with random biopsies of remnant gastric mucosa to evaluate bile reflux gastritis, and ultrasonography to detect gallbladder stones were performed. Recurrence and survival also were investigated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Twenty\u2010two PPG patients (study group) and 17 BI patients (control group) were enrolled. Overall modified Visick scores of postprandial symptoms were lower in PPG patients than in BI patients (0.9 \u00b1 0.7 vs. 2.3 \u00b1 1.4; <jats:italic>p<\/jats:italic> = 0.018). Gastric emptying was delayed in PPG patients versus BI patients for solids (<jats:italic>p<\/jats:italic> &lt; 0.05). Moderate gastritis, bile reflux, and gallbladder stone were observed only in BI patients. Remnant stomach pathologic findings corresponding to bile reflux gastritis in the two groups were similar, except for <jats:italic>Helicobacter pylori<\/jats:italic> colonization. No recurrence occurred in either group (mean follow\u2010up period = 41 \u00b1 9.5\u00a0months).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>PPG patients had fewer subjective postprandial symptoms than BI patients. The present study also suggests that PPG has advantages over BI in terms of the avoidance of bile reflux and gallbladder stones.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-007-9441-4","type":"journal-article","created":{"date-parts":[[2008,2,6]],"date-time":"2008-02-06T21:55:37Z","timestamp":1202334937000},"page":"1029-1036","source":"Crossref","is-referenced-by-count":84,"title":["Clinical Outcome of Pylorus\u2010preserving Gastrectomy in Gastric Cancer in Comparison with Conventional Distal Gastrectomy with Billroth I Anastomosis"],"prefix":"10.1002","volume":"32","author":[{"given":"Do Joong","family":"Park","sequence":"first","affiliation":[{"name":"Department of Surgery Seoul National University College of Medicine Seoul Korea"},{"name":"Cancer Research Institute Seoul National University College of Medicine Seoul Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hyuk\u2010Joon","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Surgery Seoul National University College of Medicine Seoul Korea"},{"name":"Cancer Research Institute Seoul National University College of Medicine Seoul Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hyun Chae","family":"Jung","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Seoul National University College of Medicine Seoul Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Woo Ho","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Pathology Seoul National University College of Medicine Seoul Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kuhn Uk","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Surgery Seoul National University College of Medicine Seoul Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Han\u2010Kwang","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Surgery Seoul National University College of Medicine Seoul Korea"},{"name":"Cancer Research Institute Seoul National University College of Medicine Seoul Korea"},{"name":"Department of Surgery and Cancer Research Institute Seoul National University College of Medicine 28 Yongon\u2010dong, Chongno\u2010gu 110\u2010744 Seoul Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2008,2,7]]},"reference":[{"key":"e_1_2_7_2_2","doi-asserted-by":"publisher","DOI":"10.1054\/bjoc.2000.1427"},{"key":"e_1_2_7_3_2","first-page":"838","article-title":"Pylorus\u2010preserving gastrectomy as an improved operation for gastric ulcer","volume":"61","author":"Maki 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