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World J Gastroenterol. Jan 7, 2014; 20(1): 330-332
Published online Jan 7, 2014. doi: 10.3748/wjg.v20.i1.330
Published online Jan 7, 2014. doi: 10.3748/wjg.v20.i1.330
Digestive tract reconstruction pattern as a determining factor in postgastrectomy quality of life
Xin-Zu Chen, Wei-Han Zhang, Kun Yang, Jian-Kun Hu, Department of Gastrointestinal Surgery, West China Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China
Author contributions: Chen XZ wrote the letter; Zhang WH contributed equally to present letter; Yang K contributed to literature retrieval; Hu JK reviewed the letter.
Supported by The National Natural Science Foundation of China, Nos. 81071777, 81372344 and 81301866, and the Scientific Research Program of Public Health Department of Sichuan Province, China, No. 120196
Correspondence to: Jian-Kun Hu, MD, PhD, Professor, Department of Gastrointestinal Surgery, West China Hospital, Sichuan University, No. 37 Guo Xue Xiang Street, Chengdu 610041, Sichuan Province, China. hujkwch@126.com
Telephone: +86-28-85422878 Fax: +86-28-85164035
Received: September 6, 2013
Revised: October 14, 2013
Accepted: October 17, 2013
Published online: January 7, 2014
Revised: October 14, 2013
Accepted: October 17, 2013
Published online: January 7, 2014
Core Tip
Core tip: Proximal gastrectomy is associated with the worst postoperative quality of life (QoL) and should be performed cautiously. The trend toward better QoL following the pouch procedure of total gastrectomy requires further robust support. Whether the use of Billroth-I gastroduodenostomy or Roux-en-Y gastrojejunostomy is optimal for distal gastrectomy remains controversial, but the Roux-en-Y gastrojejunostomy is likely preferable.