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[Restoration of digestive continuity after subtotal gastrectomy: comparison of the methods of Billroth I, Billroth II and roux en Y. Randomized prospective study].
Ann Ital Chir. 1999 Jan-Feb; 70(1):51-6.AI

Abstract

The aim of this study was to evaluate functional results after Billroth I, Billroth II and Roux en Y reconstruction in subtotal gastrectomy.

MATERIAL AND METHODS

45 patients were randomised between 1990 and 1995 and stratified in 3 different groups: 15 BI, 15 BII and 15 Roux. They were investigated by EGDS with multiple biopsies and upper gastro-intestinal scintiscanning, to evaluate gastro-esophageal reflux (GER) and dynamics of gastric emptying. Besides they answered a questionnaire: "Gastrointestinal Quality of Life Index" (GIQLI).

RESULTS

A reflux esophagitis was found in 5 BI, in 7 BII and in 2 Roux (p < 0.001). No gastric lesions were found in 6 BI, in 5 BII and in 12 Roux, (BI vs. Y, p < 0.05; BII vs. Y, p < 0.001). Chronic superficial gastritis was present in 9 BI, in 4 BII and in 3 Roux (BI vs. Y, p < 0.05). Dynamic scintiscan demonstrated the presence of GER in 5 BI and gastric emptying was fast (37' < T 1/2 < 86'), but incomplete (60' residual activity: 49-62%). GER was evident in 7 BII with slow (28' < T 1/2 < 143') and incomplete (60' residual activity: 48-72%) gastric emptying. GER was detected in 2 Roux and radioactive bolus progression in the Roux limb was fast (24' < T 1/2 < 53') and complete (60 residual activity: 42-52%) (BI vs. Y; BII vs. Y, p < 0,001). There was not statistical significance between GIQLI score in the 3 groups.

CONCLUSION

The authors affirm the Roux en Y is the technique of choice in subtotal gastrectomy, if compared with BI and BII.

Authors+Show Affiliations

Policlinico Umberto I, Università degli Studi di Roma La Sapienza.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Clinical Trial
Comparative Study
English Abstract
Journal Article
Randomized Controlled Trial

Language

ita

PubMed ID

10367507

Citation

D'Amato, A, et al. "[Restoration of Digestive Continuity After Subtotal Gastrectomy: Comparison of the Methods of Billroth I, Billroth II and Roux En Y. Randomized Prospective Study]." Annali Italiani Di Chirurgia, vol. 70, no. 1, 1999, pp. 51-6.
D'Amato A, Montesani C, Cristaldi M, et al. [Restoration of digestive continuity after subtotal gastrectomy: comparison of the methods of Billroth I, Billroth II and roux en Y. Randomized prospective study]. Ann Ital Chir. 1999;70(1):51-6.
D'Amato, A., Montesani, C., Cristaldi, M., Giovannini, C., Pronio, A., Santella, S., Ventroni, G., Ronga, G., & Ribotta, G. (1999). [Restoration of digestive continuity after subtotal gastrectomy: comparison of the methods of Billroth I, Billroth II and roux en Y. Randomized prospective study]. Annali Italiani Di Chirurgia, 70(1), 51-6.
D'Amato A, et al. [Restoration of Digestive Continuity After Subtotal Gastrectomy: Comparison of the Methods of Billroth I, Billroth II and Roux En Y. Randomized Prospective Study]. Ann Ital Chir. 1999 Jan-Feb;70(1):51-6. PubMed PMID: 10367507.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Restoration of digestive continuity after subtotal gastrectomy: comparison of the methods of Billroth I, Billroth II and roux en Y. Randomized prospective study]. AU - D'Amato,A, AU - Montesani,C, AU - Cristaldi,M, AU - Giovannini,C, AU - Pronio,A, AU - Santella,S, AU - Ventroni,G, AU - Ronga,G, AU - Ribotta,G, PY - 1999/6/15/pubmed PY - 1999/6/15/medline PY - 1999/6/15/entrez SP - 51 EP - 6 JF - Annali italiani di chirurgia JO - Ann Ital Chir VL - 70 IS - 1 N2 - UNLABELLED: The aim of this study was to evaluate functional results after Billroth I, Billroth II and Roux en Y reconstruction in subtotal gastrectomy. MATERIAL AND METHODS: 45 patients were randomised between 1990 and 1995 and stratified in 3 different groups: 15 BI, 15 BII and 15 Roux. They were investigated by EGDS with multiple biopsies and upper gastro-intestinal scintiscanning, to evaluate gastro-esophageal reflux (GER) and dynamics of gastric emptying. Besides they answered a questionnaire: "Gastrointestinal Quality of Life Index" (GIQLI). RESULTS: A reflux esophagitis was found in 5 BI, in 7 BII and in 2 Roux (p < 0.001). No gastric lesions were found in 6 BI, in 5 BII and in 12 Roux, (BI vs. Y, p < 0.05; BII vs. Y, p < 0.001). Chronic superficial gastritis was present in 9 BI, in 4 BII and in 3 Roux (BI vs. Y, p < 0.05). Dynamic scintiscan demonstrated the presence of GER in 5 BI and gastric emptying was fast (37' < T 1/2 < 86'), but incomplete (60' residual activity: 49-62%). GER was evident in 7 BII with slow (28' < T 1/2 < 143') and incomplete (60' residual activity: 48-72%) gastric emptying. GER was detected in 2 Roux and radioactive bolus progression in the Roux limb was fast (24' < T 1/2 < 53') and complete (60 residual activity: 42-52%) (BI vs. Y; BII vs. Y, p < 0,001). There was not statistical significance between GIQLI score in the 3 groups. CONCLUSION: The authors affirm the Roux en Y is the technique of choice in subtotal gastrectomy, if compared with BI and BII. SN - 0003-469X UR - https://www.unboundmedicine.com/medline/citation/10367507/[Restoration_of_digestive_continuity_after_subtotal_gastrectomy:_comparison_of_the_methods_of_Billroth_I_Billroth_II_and_roux_en_Y__Randomized_prospective_study]_ L2 - https://medlineplus.gov/stomachcancer.html DB - PRIME DP - Unbound Medicine ER -