Gastric Cancer

, Volume 13, Issue 2, pp 109–116 | Cite as

Correlation between the length of the pyloric cuff and postoperative evaluation after pylorus-preserving gastrectomy

  • Shinji Morita
  • Mitsuru Sasako
  • Makoto Saka
  • Takeo Fukagawa
  • Takeshi Sano
  • Hitoshi Katai
Original Article



Recent years have seen the preserved pyloric cuff being lengthened in pylorus-preserving gastrectomy for early gastric cancer. We performed clinical assessment of the symptoms after pylorus-preserving gastrectomy in patients treated at the National Cancer Center Hospital in Japan during the past 9 years.


Four hundred and fifty-six patients who had undergone pylorus-preserving gastrectomy and been followed up for at least 3 years were studied. We classified the patients into two groups according to the length of the pyloric cuff (group A, within 3.0 cm; group B, more than 3.0 cm). Medical records were reviewed for further histological and follow-up data. A questionnaire regarding dumping syndrome and gastric stasis was also completed by the patients.


Our results showed no statistically significant differences in symptoms, such as dumping syndrome or emptying disturbances, between the two groups.


Our study revealed that the differences in several functions and symptom scales were not pronounced between the two groups. Regardless of the length of the pyloric cuff, pylorus-preserving gastrectomy can be utilized for the treatment of early gastric cancer even if the tumor is located proximal to the middle body.

Key words

Pylorus-preserving gastrectomy Pyloric cuff Late outcome Dumping syndrome Stasis 


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Copyright information

© The International Gastric Cancer Association and The Japanese Gastric Cancer Association 2010

Authors and Affiliations

  • Shinji Morita
    • 1
  • Mitsuru Sasako
    • 2
  • Makoto Saka
    • 1
  • Takeo Fukagawa
    • 1
  • Takeshi Sano
    • 3
  • Hitoshi Katai
    • 1
  1. 1.Gastric Surgery DivisionNational Cancer Center HospitalTokyoJapan
  2. 2.Department of SurgeryHyogo College of MedicineHyogoJapan
  3. 3.Department of Gastroenterological Surgery, Cancer Institute HospitalJapanese Foundation for Cancer ResearchTokyoJapan

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