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배진선,노승무,정현용,이병석,조준식,신경숙,송규상,이태용,Bae Jin-Sun,Noh Seung-Moo,Jeong Hyun-Yong,Lee Byong-Seok,Cho June-Sik,Shin Kyung-Sook,Song Kyu-Sang,Lee Tae-yong 대한위암학회 2001 대한위암학회지 Vol.1 No.4
Purpose: The aim of this study was to evaluate the shortterm outcome of a jejunal interposition, by comparing it with a conventional Roux-en-Y gastrojejunostomy, after a total gastrectomy. Materials and Methods: For 28 patients (20 men and 8 women) with a gastric adenocarcinoma, who underwent an isoperistaltic simple jejunal interposition, weight, hemoglobin, hematocrit, serum protein and albumin, and cholesterol levels were checked before the operation and at 1 year and 2 years after the surgery. Also, endoscopy was performed to confirm reflux esophagitis. In this study, the data were collected between January 1993 and July 1999 at Chungnam National University Hospital, and the results were compared with those of the Roux-en-Y procedure. Results: The body weights at 1 year and 2 years after the surgery had returned to $86.0\%$ and $87.6\%$ of the recent original body weight in the jejunal interposition (JI) group and to $90.8\%,\;87.0\%$, respectively in the Roux-en-Y (RY) group. The levels of hemoglobin (g/dl) were 13.3, 12.5, and 11.9 in the JI group, and 13.8, 12.6, and 12.1 in the RY group at the time of the operation and at 1 year, and 2 years after the surgery, respectively. The total serum protein (g/dl) levels were 7.1, 7.2, and 7.5 in the JI group and 7.1, 7.0, and 7.2 in the RY gropu at the time of the operation and at 1 year and 2 years after the surgery, respectively. The serum albumin (g/dl) levels were 4.2, 4.1, and 4.2 in the JI group and 4.2, 4.2, and 4.2 in the RY group at the time of the operation and at 1 year, and 2 years after the surgery, respectively. The total serum cholesterol (mg/dl) levels were 186.5, 174, and 164 in the JI group and 213.7, 171.1, and 141.0 in the RY group at the time of the operation and at 1 year and 2 years after the surgery, respectively. The endoscopic finding showed that reflux esophagitis occurred in $7.1\%$ of the patients in the JI group and in $3.5\%$ in the RY group. Conclusion: We think that from the view point of quality of life, a jejunal interposition, as well as a Roux-en-Y procedure, is a useful reconstruction methods for a total gastrectomy.
서용선(Yung Sun Suh),배진선(Jin Sun Bae) 대한소화기학회 1996 대한소화기학회지 Vol.28 No.6
N/A Backgrounds/Aims: Stomach cancer is the most common malignant tumor in Korea. The prognosis is much better in early cancer than in advanced state, and until now operation is the only measure that can potentially cure. We studied to know the factors influencing the survival rate after operation, which is very important to manage the patients. Methods: We analyzed 264 patients who underwent surgery for stomach cancer during three years between Janunaip 1988 and December 1990 at the Departrnent of Surgery, Chungnam National University Hospital, to know which may be important to influence the prognosis especially about age, sex, tumor size, location of tumor, gross form, invasion of primary tumor, histologic classification, TNM stage, lymph node metastasis, dissection of regional nodes, resection margin, and operation method. Results: There was a male preponderance with a male to female ratio of 2.2:1. The peak age of incidence was 7th(33.3%), followed by 6th(30.5%) and 5th(22.4%) decades. 5-year survival rates were as follows ; 66.9% in 30-59 years, 54.1% above 60 years; 58.7% for male, 65.7% for female; 82.0% below 2cm, 80.3% between 2 and 5cm, whi]e 45.4% above 5cm in diarneter; 50.0% for cardia, 63.3% for middle part, and 62.3% for antrum; 89.5% for early gastric cancer, 85.7% for Borrmann group I, 60.4% for Borrmann group II, 40.9% for Borrmann group III, 37.5% for Borrmann group IV; 91.7% for Tl, 88.0% for T2, 41.5% for T3, 16.7% for T4: 91.7% for well differentiated, 59.0% for moderately differentiated, 58.2% for poorly differentiated, and 37.5% for mucinous cancer; 89.6% for stage Ia, 87.0% for stage Ib, 85.7% for stage II, 36.5% for stage IIIa, 34.6% for stage IIIb, and 12.0% for stage IV; 84.3% for NO, 47.1% for Nl, 34.8% for N2, 20.0% for N3; 85.7% for D, 66.7% for D,, 26.3% for Dy29.6% for D, 57.4% for cancer-negative and 15.7% for cancer positive resection margin, and finally 60.2% for curative subtotal resection and 41.2% for curative total gastrectomy. Conclusions: The prognosis after operation for stomach cancer was influenced by several factors, I.e. it was more favorable in tumor size less than 2cm, early cancer, TO or Tl, and well differentiated cancer. There were little differences in 5-year survival rates between the tumor under 2cm and that of 2-Scm in diameter; between the locations; between Borrmann group III and IV; between Tl and T2 in lymph node state; between moderately and poorly differentiated; and between Ia, Ib and II, between IIIa and IIIb in TNM staging. After all, at present, radical operation in early state is most important to improve the result in managing the patients with stomach cancer.(Korean J Gastroenterol 1996;28:770-779)