Billroth-II (gastrojejunostomy) is one of major option after gastrectomy for gastric cancer. The investigators hypothesized that isoperistaltic anastomosis lead to higher incidence of dumping syndrome but antiperistaltic (anisoperistaltic) anastomosis have relevance to gastric stasis or obstruction. The investigators will assess complications, dumping syndrome and quality of life between isoperistaltic and antiperistaltic after distal gastrectomy for gastric cancer.
Recently, laparoscopic approach has been a option for gastric cancer, especially early gastric cancer. There are growing interest in quality of life in addition to recurrence or survival. There are few report about peristalsis and no report for quality of life according to a direction of peristalsis.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
80
Same direction of peristalsis between stomach and jejunum, efferent loop of jejunum is located on the distal part of remnant stomach
Reverse direction of peristalsis between stomach and jejunum, efferent loop of jejunum is located on the proximal part of remnant stomach
Keimyung University Dongsan Medical Center
Daegu, South Korea
RECRUITINGDumping syndrome
Using Sigstad's score
Time frame: 12 months
long-term complication
all kind of complication
Time frame: from 1 month to 12 months
Total score of quality of life questionnaire
by EORTC questionnaire
Time frame: 12 months
Body weight change
for evaluate nutritional status
Time frame: 12 months
Surgical complication
all kind of complication within 1 month
Time frame: within 1 month
Gastritis
by endoscopic evaluation
Time frame: 12 months
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