[Reconstruction after distal gastrectomy].

Abstract

To select the best reconstruction method after distal gastrectomy, we analyzed the endoscopic features and gastrointestinal quality of life in patients who underwent either Billroth I or Roux-en-Y reconstruction. The Billroth I procedure is simpler, more physiologically normal, and allows easier endoscopic access to the duodenum. Although it is more complex, the Roux-en Y procedure can prevent bile reflux, is safe, and is superior to the Billroth I procedure both functionally and symptomatically. The Roux-en-Y procedure is thus one of the best options after distal gastrectomy. Selection of the reconstruction procedure should be based on clinical evidence.

• Authors: Hitoshi Katai, Souya Nunobe, Makoto Saka, Takeo Fukagawa, Takeshi Sano
• Journal: Nihon Geka Gakkai zasshi (Nihon Geka Gakkai Zasshi) Vol. 109 Issue 5 Pg. 264-8 (Sep 2008) ISSN: 0301-4894 [Print] Japan
• PMID: 18939460 (Publication Type: Comparative Study, English Abstract, Journal Article)

Topics

• Anastomosis, Roux-en-Y
• Gastrectomy (methods)
• Gastroenterostomy
• Gastroplasty (methods)
• Humans
• Stomach Neoplasms (surgery)