Comparative study of outcomes of Roux-en-Y reconstruction and Billroth â
reconstruction performed after radical distal gastrectomy.
Asian J Surg
; 42(1): 379-385, 2019 Jan.
Article
em En
| MEDLINE
| ID: mdl-29804711
ABSTRACT
BACKGROUND:
Billroth â (Bâ ) reconstruction and Roux-en-Y (RY) reconstruction are both commonly performed after distal gastrectomy (DG). We conducted a retrospective study to evaluate which is the better option.METHODS:
Included in our study were 162 patients who, between April 2011 and October 2015, underwent DG followed by Bâ reconstruction (n = 93) or RY reconstruction (n = 69). All patients were followed up for at least 1 year. We compared perioperative outcomes, postoperative complications, gastrointestinal (GI) symptoms, endoscopic findings, and nutritional status between the 2 groups of patients.RESULTS:
Patient characteristics did not differ between the 2 groups, with the exception of the incidence of gastric body tumors, which was significantly higher in the RY group (73.9% vs. 19.4%; p < 0.001). Operation time was significantly longer in the RY reconstruction group (p < 0.001). There was no significant between-group difference in the grades of GI dysfunction (p = 0.122).The endoscopically determined RGB (Residual food, Gastritis, Bile reflux)scores were significantly better in the RY reconstruction group than in the BI reconstruction group (p = 0.027, p < 0.001,p < 0.001,respectively).There was also no significant between-group difference in the change (1-year postoperative value/preoperative value) in body weight, body mass index, serum albumin concentration, or total cholesterol concentration (p = 0.484,p = 0.613,p = 0.760,p = 0.890, respectively).CONCLUSIONS:
RY reconstruction appears not to be advantageous over Bâ reconstruction in terms of GI function or nutritional status 1 year after surgery. RY reconstruction does appear to be superior in terms of preventing bile reflux but takes more operation time.Palavras-chave
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MEDLINE
Assunto principal:
Neoplasias Gástricas
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Procedimentos Cirúrgicos do Sistema Digestório
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Anastomose em-Y de Roux
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Procedimentos de Cirurgia Plástica
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Gastrectomia
Idioma:
En
Ano de publicação:
2019
Tipo de documento:
Article