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Comparison Between Billroth-II with Braun and Roux-en-Y Reconstruction After Laparoscopic Distal Gastrectomy

  • Original Article
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Journal of Gastrointestinal Surgery

Abstract

Purpose

This study aims to compare the effectiveness of Billroth-II with Braun and Roux-en-Y reconstruction after laparoscopic distal gastrectomy.

Methods

From April 2010 to August 2012, 66 patients underwent laparoscopic distal gastrectomy (Billroth-II with Braun reconstruction, 26; Roux-en-Y, 40). The patients’ data were collected prospectively and reviewed retrospectively.

Results

The mean operation and reconstruction times were statistically shorter for Billroth-II with Braun reconstruction than Roux-en-Y (198.1 ± 33.0 vs. 242.3 ± 58.1 min, p = 0.001). One case of postoperative stricture was observed in each group. One case each of intra-abdominal abscess and delayed gastric emptying occurred in the Billroth-II with Braun group. At 1 year postoperatively, gastric residue and reflux esophagitis were not significantly different between the groups. Gastritis and bile reflux were more frequently observed in the Billroth-II with Braun group (p = 0.004 and p < 0.001, respectively). At 2 years postoperatively, gastric residue was not significantly different, but gastritis, bile reflux, and esophagitis were more frequent in the Billroth-II with Braun group (p = 0.029, p < 0.001, and p = 0.036, respectively).

Conclusion

The postoperative effectiveness of Roux-en-Y reconstruction may be superior to Billroth-II with Braun reconstruction after laparoscopic distal gastrectomy.

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Acknowledgments

This work was supported by the 2-year Research Grant from Pusan National University Hospital.

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Authors and Affiliations

  1. Department of Surgery, Biomedical Research Institute, Pusan National University Hospital, Busan, South Korea

    Chang In Choi, Dae Hwan Kim, Tae Yong Jeon & Dong Heon Kim

  2. Department of Surgery, Biomedical Research Institute, Pusan National University Yangsan Hospital, Yangsan, South Korea

    Si Hak Lee & Sun Hwi Hwang

  3. Department of Internal Medicine, Biomedical Research Institute, Pusan National University Hospital, Busan, South Korea

    Dong Hoon Baek & Kwang Ha Kim

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  1. Chang In Choi
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Correspondence to Dae Hwan Kim.

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In Choi, C., Baek, D.H., Lee, S.H. et al. Comparison Between Billroth-II with Braun and Roux-en-Y Reconstruction After Laparoscopic Distal Gastrectomy. J Gastrointest Surg 20, 1083–1090 (2016). https://doi.org/10.1007/s11605-016-3138-7

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  • DOI: https://doi.org/10.1007/s11605-016-3138-7

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