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Surgical Endoscopy

, Volume 27, Issue 3, pp 910–917 | Cite as

Proper preparation to reduce endoscopic reexamination due to food residue after distal gastrectomy for gastric cancer

  • Ji Yong AhnEmail author
  • Hwoon-Yong Jung
  • Sue Eun Bae
  • Ji Hoon Jung
  • Ji Young Choi
  • Mi-Young Kim
  • Jeong Hoon Lee
  • Kwi-Sook Choi
  • Do Hoon Kim
  • Kee Don Choi
  • Ho June Song
  • Gin Hyug Lee
  • Jin-Ho Kim
  • Seungbong Han
Article

Abstract

Background

Reducing food residue by proper preparation methods before endoscopy after distal gastrectomy can increase the quality of examination and decrease patient discomfort. We evaluated the risk factors for food residue and proper methods of preparation for endoscopy after distal gastrectomy.

Methods

Follow-up endoscopy with questionnaires was performed on 1,001 patients who underwent distal gastrectomy at Asan Medical Center between December 2010 and July 2011.

Results

Endoscopic examination failed in 94 patients (9.4 %) as a result of large amounts of food residue. Rates of failure were significantly higher in patients who ate a regular diet rather than a soft diet at last dinner before examination (13.9 vs. 6.1 %, p = 0.050), and in those who ate lunch rather than not eating lunch on the day before examination (14.6 vs. 7.7 %, p = 0.020). Multivariate analysis showed that the rate of failed examination was lower in patients who had a history of abdominal surgery (p = 0.011), those who ate a soft (p < 0.001) or liquid (p = 0.003) diet as a last meal rather than a regular diet, those who underwent Billroth I rather than Billroth II reconstruction (p = 0.035), patients with longer fasting time (p = 0.009), and those with a longer gastrectomy-to-endoscopy time interval (p < 0.001).

Conclusions

Patients who undergo follow-up endoscopy after surgery should fast more than 18 h and ingest a soft or liquid diet on the day before examination.

Keywords

Stomach neoplasms Distal gastrectomy Food residue 

Notes

Disclosures

J. Y. Ahn, H.-Y. Jung, S. E. Bae, J. H. Jung, J. Y. Choi, M.-Y. Kim, J. H. Lee, K.-S. Choi, D. H. Kim, K. D. Choi, H. J. Song, G. H. Lee, J.-H. Kim, and S. Han have no conflicts of interest or financial ties to disclose.

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Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  • Ji Yong Ahn
    • 1
    Email author
  • Hwoon-Yong Jung
    • 1
  • Sue Eun Bae
    • 1
  • Ji Hoon Jung
    • 1
  • Ji Young Choi
    • 1
  • Mi-Young Kim
    • 1
  • Jeong Hoon Lee
    • 1
  • Kwi-Sook Choi
    • 1
  • Do Hoon Kim
    • 1
  • Kee Don Choi
    • 1
  • Ho June Song
    • 1
  • Gin Hyug Lee
    • 1
  • Jin-Ho Kim
    • 1
  • Seungbong Han
    • 2
  1. 1.Department of GastroenterologyUniversity of Ulsan College of Medicine, Asan Medical Center, Asan Digestive Disease Research InstituteSeoulKorea
  2. 2.Department of Clinical Epidemiology and BiostatisticsUniversity of Ulsan College of Medicine, Asan Medical Center, Asan Digestive Disease Research InstituteSeoulKorea

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