Journal of Digestive Cancer Research

Korean Society of Gastrointestinal Cancer Research (대한소화기암연구학회)
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Proximal Gastrectomy for Upper-third Early Gastric Cancer

상부조기위암에서의 근위부절제술

  • Guanhong Min (Department of General Surgery, Hallym University Kangnam Sacred Heart Hospital) ;
  • Kwangyong Kim (Department of General Surgery, Hallym University Kangnam Sacred Heart Hospital) ;
  • Seonghoon Cho (Department of General Surgery, Hallym University Kangnam Sacred Heart Hospital) ;
  • Jaewoo Shim (Department of General Surgery, Hallym University Kangnam Sacred Heart Hospital)
  • 민관홍 (한림대학교 강남성심병원 일반외과) ;
  • 김광용 (한림대학교 강남성심병원 일반외과) ;
  • 조성훈 (한림대학교 강남성심병원 일반외과) ;
  • 심재우 (한림대학교 강남성심병원 일반외과)
  • Received : 2024.07.25
  • Accepted : 2024.08.08
  • Published : 2024.08.20
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Abstract

Total gastrectomy has been a standard treatment for upper-third early gastric cancer for decades. Supplementation is essential after total gastrectomy due to vitamin B12 deficiency. Additionally, postoperative complications, such as reflux esophagitis, anastomotic stricture, leakage, and malnutrition, are the main issues. Proximal gastrectomy is considered an alternative treatment for upper-third early gastric cancer. As a function-preserving gastrectomy it is known that the incidence of vitamin B12 deficiency is low and due to its various reconstruction methods we can easily overcome major postoperative complications. Therefore, we aimed to review about proximal gastrectomy, how it is reconstructed, and complications after reconstruction.

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References

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