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KMID : 0914820070070010016
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Journal of the Korean Gastric Cancer Association
2007 Volume.7 No. 1 p.16 ~ p.22
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Comparison of the Results in Gastric Carcinoma Patients undergoing Billroth I and Billroth II Gastrectomiesy
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Kim Sung-Geun
Kim Young-Kyun
Heo Yoon-Jung
Song Kyo-Young
Kim Jin-Jo
Chin Hyung-Min
Kim Wook
Park Cho-Hyun
Park Seung-Man
Lim Keun-Woo
Kim Seung-Nam
Jeon Hae-Myung
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Abstract
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Purpose: The proper reconstruction technique to use after a distal subtotal gastrectomy for a gastric carcinoma, there has been a subject for debated what is the proper reconstruction technique. The aim of this study was to compare the gastric- emptying time and the quality of life following both B-I and B-II reconstructions after a distal gastrectomy for a gastric adenocarcinoma.
Materials and Methods: We studied 122 patients who had undergone a distal gastrectomy for a gastric adenocarcinoma between June 1999 and July 2002 at our hospital. 51 patients underwent B-I group, and 71 patients underwent B-II group. To evaluate the gastric-emptying time, we analyzed the T1/2 time by means of radionuclide scintigraphy using a gamma camera after ingestion of an 99mTc-tin-colloid steamed egg. The nutritional status was measured by the weight change. Postgastrectomy syndrome was evaluated using an abdominal symptoms survey. Dumping syndrome was measured using the Sigstad dumping score.
Results: The gastric-emptying time was somewhat delayed in the B-I group after a 6 month period, but there was no difference after 12 months between the two groups. There was less weight loss in the B-I group than in the B-II group (P=0.023). Fewer abdominal symptoms were occurred in the B-I group than in the B-II group. Dumping syndrome occurred less frequently in the B-I group than in the B-II group (P=0.013).
Conclusion: In our study, the Billroth I reconstruction led to less weight loss, a better nutritional status, and a better quality of life than the Billroth II reconstruction. We concluded that after a distal subtotal gastrectomy, the Billroth I reconstruction would be considered when the procedure is oncologically suitable. (J Korean Gastric Cancer Assoc 2007; 7:16-22)
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KEYWORD
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Gastric cancer, Billroth I, Billroth II, Gastric-emptying time, Quality of life
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