Brief Article
Copyright ©2009 Baishideng. All rights reserved.
World J Gastrointest Surg. Nov 30, 2009; 1(1): 56-58
Published online Nov 30, 2009. doi: 10.4240/wjgs.v1.i1.56
Gastrointestinal symptomatic outcomes of laparoscopic and open gastrectomy
Bilal Kharbutli, Vic Velanovich
Bilal Kharbutli, Vic Velanovich, Division of General Surgery, Henry Ford Hospital, Detroit, MI 48202, United States
Author contributions: Kharbutli B performed and Velanovich V supervised data collection, review of medical records and literature review; Kharbutli B and Velanovich V co-performed statistical analysis and co-wrote the abstract and manuscript.
Correspondence to: Vic Velanovich, MD, Division of General Surgery, K-8, Henry Ford Hospital, 2799 West Grand Blvd., Detroit, MI 48202, United States.
Telephone: +1-313-9168984 Fax: +1-313-9167354
Received: July 24, 2009
Revised: August 25, 2009
Accepted: September 2, 2009
Published online: November 30, 2009

AIM: To compare the laparoscopic and the open gastrectomy approaches for short term morbidity, length of hospital stay and also long term gastrointestinal symptoms.

METHODS: Patients who have undergone gastrectomy had their medical records reviewed for demographic data, type of gastrectomy, short term morbidity, and length of hospital stay. Patients were contacted and asked to complete the Gastrointestinal Symptom Rating Scale (GSRS). The GSRS measures three domains of GI symptoms: Dyspepsia Syndrome (DS) for the foregut (best score 0, worse score 15), indigestion syndrome (IS) for the midgut (best score 0, worse score 12), and bowel dysfunction syndrome (BDS) for the hindgut (best score 0, worse score 16). Statistical analysis was done using the Mann-Whitney U-test.

RESULTS: We had complete data on 32 patients: 7 laparoscopic and 25 open. Of these, 25 had a gastroenteric anastomosis and 6 did not. The table shows the results as medians with interquartile range. Laparoscopic gastrectomy had a better score than open gastrectomy in the DS domain (0 vs 1, P = 0.02), while gastrectomy without anastomosis had a better score than gastrectomy with anastomosis in the IS domain (0 vs 1, P = 0.05).

CONCLUSION: Patients have little adverse gastrointestinal symptoms and preserve good gastrointestinal function after undergoing any type of gastrectomy. Laparoscopic approach had better dyspepsia and foregut symptoms. Performing an anastomosis led to mild adverse midgut and indigestion effects

Keywords: Laparoscopic, Gastrectomy, Symptomatic outcomes, Gastric tumor, Open gastrectomy, Laparoscopic gastrectomy