Nursing Intervention for a Delayed Gastric Emptying after Pylorus-preserving Gastrectomy for Early Gastric Cancer

Deok Hee Kim; Eunsook Choi

doi:10.5388/aon.2017.17.4.263

Journal List > Asian Oncol Nurs > v.17(4) > 1081913

Go to TopGo to Top Go to BottomGo to Bottom

TOOLS

Kim and Choi: Nursing Intervention for a Delayed Gastric Emptying after Pylorus-preserving Gastrectomy for Early Gastric Cancer

Original Article

Asian Oncol Nurs 2017;17(4):263-269.

Published online: 5 December 2017

DOI: https://doi.org/10.5388/aon.2017.17.4.263

Nursing Intervention for a Delayed Gastric Emptying after Pylorus-preserving Gastrectomy for Early Gastric Cancer

Deok Hee Kim¹, Eunsook Choi²

¹Department of Nursing and Stomach Cancer Center, National Cancer Center, Goyang, Korea

²Department of Nursing, National Cancer Center, Goyang, Korea

Address reprint requests to: Choi, Eunsook Department of Nursing, National Cancer Center, 323, Ilsan-ro, Ilsandong-gu, Goyang-si, Gyeonggi-do 10408, Korea Tel: +82-31-920-1907 Fax: +82-31-920-2898 E-mail: eunsookc77@ncc.re.kr

Received 12 Jun 201718 Aug 2017 Accepted 15 Sep 2017

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

초록

Purpose

The purpose of this case report is to describe the surgical procedure of pylorus preserving gastrectomy and treatment methods, and the nursing process for postoperative complications namely delayed gastric emptying.

Methods

This case study describes the treatment methods and nursing process for a patient who visited the emergency room because of delayed gastric emptying after a pylorus preserving gastrectomy.

Results

The symptoms of this patient were resolved by botox-injection, none per oral, total parenter-al nutrition, nutrition education after diagnosis by using abdominal x-ray, gastric emptying study, upper gastrointestinal series, and esophagogastroduodenoscopy.

Conclusion

According to the result of this case study, nurses should be informed about delayed gastric emptying and how to apply the correct nursing process to the patient.

Keywords: Gastric Cancer, Gastrectomy, Postgastrectomy Syndromes

REFERENCES

1. Jiang X, Hiki N, Nunobe S, Fukunaga T, Kumagai K, Nohara K, et al. Postoperative outcomes and complications after laparoscopy-assisted pylorus-preserving gastrectomy for early gastric cancer. Ann Surg. 2011; 253:928–33.

2. Kodama M, Koyama K, Chida T, Arakawa A, Tur G. Early postoperative evaluation of pylorus-preserving gastrectomy for gastric cancer. World J Surg. 1995; 19:456–60.

3. National Cancer Information Center (KR). Incidence of cancer [Internet]. Available from. http://www.cancer.go.kr/mbs/cancer/subveiw.jsp?id=cancer_040102000000. [Accessed February 13, 2017].

4. Kang KJ, Lee JH. Characteristics of gastric cancer in Korea – with an emphasis on the increase of the early gastric cancer. J Korean Med As-soc. 2010; 53:283–9.

5. Park JI, Jin SH, Bang HY, Chae GB, Paik NS, Moon NM, et al. The early experience with a laparoscopy-assisted pylorus-preserving gastrectomy: a comparison with a laparoscopy-assisted gastrectomy with bill-roth-I reconstruction. J Korean Gastric Assoc. 2008; 8:20–6.

6. Adachi Y, Shiraishi N, Kitano S. Modern treatment of early gastric cancer: review of the japanese experience. Dig Surg. 2002; 19:333–95.

7. Kitamura K, Yamaguchi T, Taniguchi H, Hagiwara A, Sawai K, Taka-hashi T. Analysis of lymph node metastasis in early gastric cancer ratio-nale of limited surgery. J Surg Oncol. 1997; 64:42–7.

8. Cho SH, Kim BS, Kim YH, Lee CH, Yook JH, Oh ST, et al. Clinical analysis of post-operative complication in gastric tumors. J Korean Surg Soc. 2001; 61:498–503.

9. Hur H, Park CH. Surgical treatment of gastric carcinoma. Korean J Gastroenterol. 2009; 54:83–98.

10. Kodama M, Koyama K. Indication for pylorus preserving gastrectomy for early gastric cancer located in the middle third of the stomach. World J Surg. 1991; 15:628–33.

11. Hiki N, Nunobe S, Kubota T, Juang X. Function-preserving gastrectomy for early gastric cancer. Ann Surg Oncol. 2013; 20:2683–92.

12. Chu UM, Seo KW, Kim HS, Joo JH, Park YG, Ryu SY, et al. Clinical sig-nificance of a pylorus-preserving gastrectomy for early gastric cancer. J Korean Gastric Cancer Assoc. 2006; 6:11–7.

13. Thompson MA, Summers R. Barium impaction as a complication of gastrointestinal scleroderma. JAMA. 1976; 235:1715–7.

14. Frank K, Palit H, Parkman H, Hanlon Nelson B. Botulinum toxin a for the treatment of delayed gastric emptying. Am J Gastroenterol. 2008; 103:416–23.

15. Kim JH, Lee HS, Kim MS, Lee JM, Kim SK, Zo JI. Balloon dilatation of the pylorus for delayed gastric emptying after esophagectomy. Eur J Cardiothorac Surg. 2008; 33(6):1105–11.

16. Park MO, Park HA. Development of a nursing practice guideline for pre and post operative care of gastric cancer patients. Healthc Inform Res. 2010; 16:215–23.

17. Min HS, Hwang WH. The effect of nutritional education program on nausea and vomiting, anorexia, food intake, and nutritional status of GI cancer patients undergoing chemotherapy. J Korea Oncol Nurs. 2010; 10:38–47.

18. Cho YS. Effect of nutrition management program on the physical discomfort and nutritional status of the patients under chemotherapy [dissertation]. Seoul: Korea Univ.;2003.

Fig. 1.

Upper-gastrointestinal series showing delayed gastric emptying.

Fig. 2.

Surgical procedure of pylorus-preserving gastrectomy (PPG)¹¹⁾ (reprinted, by permission, from copyright clearance center.)

TOOLS

Similar articles