{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,20]],"date-time":"2026-03-20T20:41:10Z","timestamp":1774039270028,"version":"3.50.1"},"reference-count":28,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2018,3,23]],"date-time":"2018-03-23T00:00:00Z","timestamp":1521763200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Asian J Endoscop Surgery"],"published-print":{"date-parts":[[2018,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Despite technical improvements in laparoscopic gastrectomy, gastric stasis is still a serious problem in laparoscopy\u2010assisted pylorus\u2010preserving gastrectomy (LAPPG). The aim of this study was to investigate the factors that might cause gastric stasis in LAPPG.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>From April 2004 through November 2012, 85 patients with cT1N0 middle\u2010third gastric cancer who underwent LAPPG at Kitasato University Hospital; these patients were included in the present study. Infra\u2010pyloric vein (IPV)\u2010preserving LAPPG was performed in 41 patients. We compared the rate of gastric stasis in the IPV\u2010preserving and the IPV\u2013non\u2010preserving groups, and analyzed the clinicopathological factors that might have caused gastric stasis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We did not demonstrate that preservation of the IPV could prevent gastric stasis in the early and late postoperative periods. Symptoms of gastric stasis were most frequently recognized 1\u2009year after surgery. A significantly higher proportion of preoperative ASA class 2 patients had gastric stasis than did not (80.0% [12\/15] vs 48.6% [34\/70], <jats:italic>P<\/jats:italic>=0.02). Among the ASA class 2 patients, a significantly greater proportion of those with depressed activities of daily living than those with normal activities of daily living had gastric stasis (66.7% [4\/6] vs 20.0% [8\/40], <jats:italic>P<\/jats:italic>\u2009=\u20090.015).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The clinical significance of the IPV preservation in LAPPG could not be demonstrated. LAPPG should be performed for ASA class 1 patients or those with maintained preoperative activities of daily living.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ases.12477","type":"journal-article","created":{"date-parts":[[2018,3,24]],"date-time":"2018-03-24T00:58:40Z","timestamp":1521853120000},"page":"337-345","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Patients\u2019 preoperative background causes gastric stasis after laparoscopy\u2010assisted pylorus\u2010preserving gastrectomy"],"prefix":"10.1111","volume":"11","author":[{"given":"Nobuyuki","family":"Nishizawa","sequence":"first","affiliation":[{"name":"Department of Surgery Kitasato University School of Medicine  Sagamihara Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kei","family":"Hosoda","sequence":"additional","affiliation":[{"name":"Department of Surgery Kitasato University School of Medicine  Sagamihara 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