Abstract | BACKGROUND/AIMS: METHODOLOGY: Sixty patients who underwent curative distal gastrectomy for gastric cancer were classified into three groups by reconstructive procedure: group A, Roux-Y (n=18); group B, Billroth I (n=25); group C, Billroth II (n=17). Intragastric bile reflux was monitored using the Bilitec 2000 14 days after surgery, and endoscopy was performed and a patient questionnaire was completed 12 weeks after surgery. RESULTS:
Bile reflux occurred in 23.9%, 40.4%, and 73.4% of the time (p<0.001), and remnant gastritis developed in 33%, 76%, and 100% of patients (p<0.001), in groups A, B, and C, respectively. Helicobacter pylori infection did not correlate with remnant gastritis (p=0.57). Symptoms following Roux-Y reconstruction were comparable to those following Billroth I and II reconstructions. CONCLUSIONS:
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Authors | H Osugi, K Fukuhara, N Takada, M Takemura, H Kinoshita |
Journal | Hepato-gastroenterology
(Hepatogastroenterology)
2004 Jul-Aug
Vol. 51
Issue 58
Pg. 1215-8
ISSN: 0172-6390 [Print] Greece |
PMID | 15239282
(Publication Type: Clinical Trial, Controlled Clinical Trial, Journal Article)
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Topics |
- Aged
- Anastomosis, Roux-en-Y
- Duodenogastric Reflux
(epidemiology, prevention & control)
- Female
- Gastrectomy
- Gastric Stump
- Gastritis
(epidemiology, prevention & control)
- Gastroenterostomy
- Humans
- Incidence
- Male
- Middle Aged
- Neoplasm Staging
- Reoperation
- Stomach Neoplasms
(pathology, surgery)
- Surveys and Questionnaires
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