Tags

Type your tag names separated by a space and hit enter

Billroth I versus Billroth II versus Roux-en-Y after subtotal gastrectomy. Prospective [correction of prespective] randomized study.
Hepatogastroenterology. 2002 Sep-Oct; 49(47):1469-73.H

Abstract

BACKGROUND/AIMS

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

METHODOLOGY

Forty-five patients were randomized between 1990 and 1995 and stratified in 3 different groups: 15 BI, 15 BII and 15 Roux. They were investigated by esophagogastroduodenoscopy with multiple biopsies and upper gastrointestinal scintiscanning, to evaluate gastroesophageal reflux and dynamics of gastric emptying. They also answered a questionnaire: Gastrointestinal Quality of Life. Index.

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 gastroesophageal reflux in 5 BI and gastric emptying was fast (37' < T 1/2 < 86'), but incomplete (60' residual activity: 49-62%). Gastroesophageal reflux was evident in 7 BII with slow (28' < T 1/2 < 143') and incomplete (60' residual activity: 48-72%) gastric emptying. Gastroesophageal reflux 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 no statistical significance between Gastrointestinal Quality of Life Index score in the 3 groups.

CONCLUSIONS

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

Authors+Show Affiliations

Università degli Studi di Roma La Sapienza, Policlinico Umberto I, VI Clinica Chirurgica, Roma, Italy.No 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
Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

12239969

Citation

Montesani, Chiara, et al. "Billroth I Versus Billroth II Versus Roux-en-Y After Subtotal Gastrectomy. Prospective [correction of Prespective] Randomized Study." Hepato-gastroenterology, vol. 49, no. 47, 2002, pp. 1469-73.
Montesani C, D'Amato A, Santella S, et al. Billroth I versus Billroth II versus Roux-en-Y after subtotal gastrectomy. Prospective [correction of prespective] randomized study. Hepatogastroenterology. 2002;49(47):1469-73.
Montesani, C., D'Amato, A., Santella, S., Pronio, A., Giovannini, C., Cristaldi, M., & Ribotta, G. (2002). Billroth I versus Billroth II versus Roux-en-Y after subtotal gastrectomy. Prospective [correction of prespective] randomized study. Hepato-gastroenterology, 49(47), 1469-73.
Montesani C, et al. Billroth I Versus Billroth II Versus Roux-en-Y After Subtotal Gastrectomy. Prospective [correction of Prespective] Randomized Study. Hepatogastroenterology. 2002 Sep-Oct;49(47):1469-73. PubMed PMID: 12239969.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Billroth I versus Billroth II versus Roux-en-Y after subtotal gastrectomy. Prospective [correction of prespective] randomized study. AU - Montesani,Chiara, AU - D'Amato,Alberto, AU - Santella,Sergio, AU - Pronio,Annamaria, AU - Giovannini,Cristiano, AU - Cristaldi,Mario, AU - Ribotta,Giorgio, PY - 2002/9/21/pubmed PY - 2003/1/24/medline PY - 2002/9/21/entrez SP - 1469 EP - 73 JF - Hepato-gastroenterology JO - Hepatogastroenterology VL - 49 IS - 47 N2 - BACKGROUND/AIMS: The aim of this study was to evaluate functional results after Billroth I, Billroth II and Roux-en-Y reconstruction in subtotal gastrectomy. METHODOLOGY: Forty-five patients were randomized between 1990 and 1995 and stratified in 3 different groups: 15 BI, 15 BII and 15 Roux. They were investigated by esophagogastroduodenoscopy with multiple biopsies and upper gastrointestinal scintiscanning, to evaluate gastroesophageal reflux and dynamics of gastric emptying. They also answered a questionnaire: Gastrointestinal Quality of Life. Index. 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 gastroesophageal reflux in 5 BI and gastric emptying was fast (37' < T 1/2 < 86'), but incomplete (60' residual activity: 49-62%). Gastroesophageal reflux was evident in 7 BII with slow (28' < T 1/2 < 143') and incomplete (60' residual activity: 48-72%) gastric emptying. Gastroesophageal reflux 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 no statistical significance between Gastrointestinal Quality of Life Index score in the 3 groups. CONCLUSIONS: The Authors affirm that Roux-en-Y is the technique of choice in subtotal gastrectomy, if compared with BI and BII. SN - 0172-6390 UR - https://www.unboundmedicine.com/medline/citation/12239969/Billroth_I_versus_Billroth_II_versus_Roux_en_Y_after_subtotal_gastrectomy__Prospective_[correction_of_prespective]_randomized_study_ L2 - https://ClinicalTrials.gov/search/term=12239969 [PUBMED-IDS] DB - PRIME DP - Unbound Medicine ER -