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KMID : 0914820070070030139
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Journal of the Korean Gastric Cancer Association
2007 Volume.7 No. 3 p.139 ~ p.145
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Comparison of an Uncut Roux-en-Y Gastrojejunostomy with a Billroth I Gastroduodenostomy after Totally Laproscopic Distal Gastrectomy
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Kim Jin-Jo
Kim Sung-Geun
Jun Kyong-Hwa
Song Kyo-Young
Chin Hyung-Min
Kim Wook
Jeon Hae-Myung
Park Cho-Hyun
Park Seung-Man
Lim Keun-Woo
Park Woo-Bae
Kim Seung-Nam
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Abstract
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Purpose: An uncut Roux-en-Y gastrojejunostomy has been known to be effective in preventing bile reflux gastritis in the remnant stomach and the Roux stasis syndrome.
Materials and Methods: To evaluate the usefulness of a totally laparoscopic uncut Roux-en-Y gastrojejunostomy (TLuRYGJ) after a distal gastrectomy, we reviewed the medical records of 19 consecutive patients that underwent a TLuRYGJ at our institution, and 11 consecutive patients who underwent a totally laparoscopic Billroth I gastrectomy (TLB-I) during the same period.
Results: Postoperative gastrointestinal symptoms related to the postgastrectomy syndrome and the Visick classification at six months after surgery were not different in the two groups; however, there was no case of symptomatic bile reflux gastritis and only one case of delayed gastric empting, for which medication was required, in the TLuRYGJ group. The endoscopic findings of the remnant stomach for bile reflux gastritis at six months after surgery were better in the TLuRYGJ group than in the TLB-I group.
Conclusion: A TLuRYGJ was found to be effective in preventing bile reflux gastritis and the Roux stasis syndrome. (J Korean Gastric Cancer Assoc 2007;7:139-145)
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KEYWORD
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Uncut Roux-en-Y gastrojejunostomy, Laparoscopy, Distal gastrectomy
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