ISSN 2490-3329 (Print)
ISSN 2303-7954 (Online)

Volume 49, Issue 1, Article 6

(Scr Med 2018:49:37-42)

Quality of Life after Gastrectomy

Jovan Ćulum1, Branislava Jakovljević1, Darko Jović1, Aleksandar Jakovljević1, Ljiljana Tadić Latinović2, Marinko Domuzin2, Gordana Guzijan3

1 Clinic “S-tetik” Banja Luka, Republic of Srpska, Bosnia and Herzegovina
2 University Clinical Center of the Republic of Srpska, Banja Luka, Bosnia and Herzegovina
3 Institute for Transfusion medicine of the Republic of Srpska, Banja Luka, Bosnia and Herzegovina

doi: 10.18575/
UDC: 616.33:316.728
COBISS.RS-ID: 7317528


Introduction: Until recently, gastric cancer represented the most common visceral neoplasm. In Japan, the prevalence of disease is 58.4 per 100,000 inhabitants for men and 29.9 for women. Here, the incidence is lower. Gastrectomy is the most common surgical method of treating carcinomas of the stomach.

Aim of the Study: To determine which method of reconstruction after gastrectomy improves the quality of life optimaly.
Patients and Methods: We analyzed 221 patient operated on for gastric cancer at the Surgical Clinic of the University Clinical Center in Banja Luka, and the subject of a detailed analysis of the 111 patients who were operated with the intention of achieving curability.

Results: Reflux esophagitis is dominant modality in reconstruction wth omega loop (p <0.05). Analyzing GIQLI, we found dominant modality GIQLI II in the total gastrectomy and reconstruction options RY, while predominantly GIQLI III was registered in HLR reservoir reconstruction method (p <0.01). And two hours after the ingestion of a meal labeled with a radioisotope Tc99m in artificial gastric reservoir (HLR) showed signs of radioactivity (about 10% amount). “H0 performance” (AJCC / UICC) was the most frequently recorded in subtotal gastrectomy, while there was significant appearance of “H1” and “H2” modalities with the total gastrectomy statistically. In RY reconstruction, statistically significant was participation modalities “H1”, while “H1” performance (AJCC / UICC) was the dominant modality at the HLR options reconstruction with statistically significant frequency of occurrence (p<0.01).

Conclusion: The results of the assessment of quality of life are comparable with the results of other statistical series. They confirm antireflux component Roux en Y reconstructions and its intestinoplications and highlight the advantage of the nutritional components loop modifications (creation pouch-a).

Keywords: gastrectomy, quality of life

Pdf version of article

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Contact address:
Jovan Ćulum,
Street address: Braće Čubrilović 16
78000 Banja Luka,
Republic of Srpska
Bosnia and Herzegovina
e-mail: This e-mail address is being protected from spambots. You need JavaScript enabled to view it
phone number: +387-65-580-088

Submitted: March 17th, 2018
Accepted: March 25th, 2018