Department of Surgery, Kyung Hee University School of Medicine, Seoul, Korea.
J Gastric Cancer. 2014 Mar;14(1):47-53. doi: 10.5230/jgc.2014.14.1.47. Epub 2014 Mar 31.
PURPOSE: Electrogastrography is a method of measuring action potentials of the stomach. The purpose of this study was to investigate early postoperative changes in the electrogastrography and determine the correlation between electrogastrography and quality of life of patients with stomach cancer who underwent distal gastrectomy. MATERIALS AND METHODS: This study analyzed 20 patients with stomach cancer who underwent electrogastrography and quality of life was measured 1, 12, and 24 weeks after the operation. Quality of life-C30 version 3.0 and quality of life-STO22, were used. RESULTS: Fasting and postprandial mean dominant frequency at 1 week after the operation was 2.7 and 2.7 cycles per minute, and 2.8 and 2.7 cycles per minute at 12 weeks, 2.6 and 2.8 cycles per minute at 24 weeks. Fasting and postprandial mean dominant power at 1 week was 36.5 and 36.4 dB, 36.3 and 40.1 dB at 12 weeks and 40.9 and 42.3 dB at 24 weeks. The percentage of tachygastria was increased whereas the percentage of bradygradia was decreased during the postoperative periods (P<0.05). Global health, physical, emotional and social functioning scales were improved, but role and cognitive functioning were not changed. Pain, insomnia, diarrhea and financial difficulties were significantly improved according to the postoperative periods (P<0.05). The correlation between the STO22 and electrogastrography parameters was not significant (P>0.05). CONCLUSIONS: These may suggest that electrogastrography is a simple and noninvasive method and may be applicated for evaluating motility and autonomic functions of the remnant stomach.
目的:胃电图是一种测量胃电活动的方法。本研究旨在探讨远端胃癌患者胃切除术后早期胃电图的变化,并确定胃电图与生活质量之间的相关性。
材料和方法:本研究分析了 20 例接受胃电图检查的胃癌患者,术后 1、12 和 24 周分别测量了生活质量。采用 C30 版 3.0 和 STO22 版生活质量量表。
结果:术后 1 周空腹和餐后平均优势频率分别为 2.7 和 2.7 次/分,12 周分别为 2.8 和 2.7 次/分,24 周分别为 2.6 和 2.8 次/分。术后 1 周空腹和餐后平均优势功率分别为 36.5 和 36.4dB,12 周分别为 36.3 和 40.1dB,24 周分别为 40.9 和 42.3dB。术后各期快波百分比增加,慢波百分比减少(P<0.05)。整体健康、生理、情绪和社会功能评分均有所改善,但角色和认知功能无变化。疼痛、失眠、腹泻和经济困难均显著改善(P<0.05)。 STO22 与胃电图参数之间无显著相关性(P>0.05)。
结论:这些结果提示胃电图是一种简单、无创的方法,可用于评估残胃的动力和自主神经功能。
J Gastric Cancer. 2014-3-31
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