1. Comparative study of outcomes of Roux-en-Y reconstruction and Billroth Ⅰ reconstruction performed after radical distal gastrectomy
- Author
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Shinichi Oka, Jian-zhong Wu, Tetsu Fukunaga, Yuji Ishibashi, Gen-hai Shen, Satoshi Kanda, and Yukinori Yube
- Subjects
Male ,medicine.medical_specialty ,Time Factors ,medicine.medical_treatment ,Operative Time ,lcsh:Surgery ,Nutritional Status ,Anastomosis ,Bile reflux ,03 medical and health sciences ,Postoperative Complications ,0302 clinical medicine ,Gastrectomy ,Stomach Neoplasms ,medicine ,Humans ,Billroth I ,Digestive System Surgical Procedures ,Aged ,Retrospective Studies ,business.industry ,Incidence (epidemiology) ,Bile Reflux ,Anastomosis, Roux-en-Y ,Retrospective cohort study ,lcsh:RD1-811 ,Perioperative ,Middle Aged ,Plastic Surgery Procedures ,medicine.disease ,Roux-en-Y anastomosis ,Surgery ,Treatment Outcome ,030220 oncology & carcinogenesis ,Female ,030211 gastroenterology & hepatology ,business ,Follow-Up Studies - Abstract
Summary: Background: Billroth Ⅰ (BⅠ) 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 BⅠ 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
- Published
- 2019
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