{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,31]],"date-time":"2025-12-31T04:51:26Z","timestamp":1767156686383},"reference-count":26,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2009,8,2]],"date-time":"2009-08-02T00:00:00Z","timestamp":1249171200000},"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":[[2009,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>To clarify the significance of preserving pyloric and hepatic branches of the vagal nerve (PHV) after pylorus preserving distal gastrectomy (PPG) for early gastric cancer, the author investigated the postgastrectomy syndrome and gastric emptying function at 5 years in PPG patients with or without preserving the PHV.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A total of 18 subjects (mucosal cancers) who underwent PPG with D1 lymph node dissection and preserving the PHV; they comprised group A\u201412\u00a0men and 6 women aged 38\u201368 years (mean 58.9 years). They were interviewed to inquire about gastrointestinal symptom (appetite, weight loss, gastric fullness, reflux esophagitis, early dumping syndrome) and then were compared with 24\u00a0PPG patients (submucosal cancers) with D2 lymph node dissection without preserving the PHV (group B\u201416\u00a0men and 8 women aged 33 to 69 years, mean 60.1 years). Esophagogastric endoscopy, abdominal ultrasonography, and gastric emptying function tests (GET) were undertaken, the latter by both radioisotope (solid diet) and acetaminophen (liquid diet) methods.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were no differences in the postoperative gastrointestinal symptoms, endoscopic reflux esophagitis, or endoscopic mucosal edema and redness (gastropathy) between groups A and B. However, more cholecystolithiasis (gallbladder stones) was found in group A than in group B, with the difference being significant (<jats:italic>P<\/jats:italic> &lt; 0.0391). The GET for solid diet and liquid diet were the almost same among groups A and B.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>There were no significant differences in the postoperative QOL and GET between PPG patients with preserving PHV and those without preserving PHV. Cholecystolithiasis was only found in patients without preserving PHV.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-009-0147-7","type":"journal-article","created":{"date-parts":[[2009,8,1]],"date-time":"2009-08-01T14:50:22Z","timestamp":1249138222000},"page":"2119-2126","source":"Crossref","is-referenced-by-count":11,"title":["Gastric Emptying Function in Patients 5 Years After Pylorus\u2010Preserving Distal Gastrectomy With or Without Preserving Pyloric and Hepatic Branches of the Vagal Nerve for Early Gastric Cancer"],"prefix":"10.1002","volume":"33","author":[{"given":"Ryouichi","family":"Tomita","sequence":"first","affiliation":[{"name":"Department of Surgery Nippon Dental University School of Life Dentistry at Tokyo 2\u20103\u201016 Fujimi, Chiyoda\u2010ku 102\u20108158 Tokyo 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