The Quality of Life as a Criterion for the Effective Surgical Treatment of the Gastric Cardia Disease
- 作者: Ruchkin D.V.1, Efimenko N.A.2, Tishakova V.E.3
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隶属关系:
- A.V. Vishnevsky National Medical Research Center of Surgery
- Main Military Clinical Hospital named after Academician N.N. Burdenko
- Surgery Center of Branch №1 of the Main Military Clinical Hospital named after Academician N.N. Burdenko
- 期: 卷 15, 编号 2 (2022)
- 页面: 98-106
- 栏目: Original articles
- URL: https://journal-vniispk.ru/2070-478X/article/view/149038
- DOI: https://doi.org/10.18499/2070-478X-2022-15-2-98-106
- ID: 149038
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The aim of the study was to assess the quality of life (QoL) in patients exposed to proximal resection of the stomach in various modifications.
Materials and methods. The study included 97 patients who underwent surgical treatment of the gastric cardia disease; of them, 87.6% having malignant neoplasms. The patients were exposed to proximal gastric resection using isoperistaltic jejunogastroplasty (Merendino-Dillard-modified) (50 patients, main group I) and conventional proximal gastric resection using “direct” esophagogastroanastomosis (47 patients, control group II). The Russian language versions of the Medical Outcomes Study 36-item Short-Form Health Survey (MOS SF-36 scale) (psychometric parameters) and Gastrointestinal Symptom-Rating Scale (GSRS) (gastrointestinal parameters) were used to assess health-related quality of life (HRQoL) in the patients before surgery and 12 and 24 months after it.
Results. The results obtained demonstrated deterioration in the quality of life of patients both in physical (on average, by 36,5±1,8 scores or 31,4%) and psychological (on average, by 34,3±1,8 scores or 34,3%) health parameters according to MOS SF-36 scale before surgical treatment. In the postoperative period, in 12 and especially in 24 months, there was an improvement in physical and psychological health parameters above 70 scores; the patients of group I recovered faster and averaged 84,8±4,1 scores (significantly closer to the population norm - 86,5±2,7 scores), and in patients of group II this parameter was 75,3±3,1. As assessed using the GSRS questionnaire, there were the least disturbances in the digestive system functioning after proximal gastric resection with the Merendino-Dillard-modified gastroplasty (in 12,0% of cases), compared to esophago-gastrostomy (in 30,0% of cases); the results are relevant (rxy=0,697±0,009; p<0,01). Proximal gastric resection with the Merendino-Dilard-modified digestive tract reconstruction creates more optimal conditions for the rapid rehabilitation of functional parameters, which positively affects the quality of life of patients.
Conclusion. The results obtained reflect the impact of the gastric cardia disease and its symptoms on the health and vital activity of patients before surgery and demonstrate how significant and effective the surgical treatment is.
作者简介
Dmitry Ruchkin
A.V. Vishnevsky National Medical Research Center of Surgery
Email: ruchkindmitry@gmail.com
ORCID iD: 0000-0001-9068-3922
SPIN 代码: 2587-8568
Doctor of Medical Sciences, Head of the Department of Reconstructive Surgery of the Esophagus and Stomach of the Vishnevsky National Medical Research Center for Surgery of the Ministry of Health of the Russian Federation
俄罗斯联邦, Russia, Moscow, Bolshaya Serpukhovskaya str., 27Nikolay Efimenko
Main Military Clinical Hospital named after Academician N.N. Burdenko
编辑信件的主要联系方式.
Email: chiefsurgeon@mail.ru
ORCID iD: 0000-0003-4461-4381
Corresponding Member of the Russian Academy of Sciences, consultant surgeon of the Surgery Center of the Branch No. 1 of the Federal State Budgetary Institution "Main Military Clinical Hospital named after academician N.N. Burdenko" Ministry of Defense of the Russian Federation
俄罗斯联邦, 107014, Russia, Moscow, Poperechny Prosek 17Viktoria Tishakova
Surgery Center of Branch №1 of the Main Military Clinical Hospital named after Academician N.N. Burdenko
Email: Tishakova21@gmail.com
ORCID iD: 0000-0002-4017-4502
Surgeon-oncologist of Surgery Center of Branch №1 of the Main Military Clinical Hospital named after Academician N.N. Burdenko
俄罗斯联邦, 107014, Russia, Moscow, Poperechny Prosek 17参考
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