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Gastric emptying in Billroth-I and Roux-en-Y reconstruction after distal gastrectomy using C-acetate breath test.
Hepatogastroenterology. 2011 Nov-Dec; 58(112):2020-3.H

Abstract

BACKGROUND/AIMS

Billroth-I and Roux-en-Y procedures have been applied generally as reconstruction techniques after distal gastrectomy. There have been few reports regarding the physiological differences of these two procedures. We compared gastric emptying after Roux-en-Y procedure with the Billroth-I procedure using the 13C-acetate breath test.

METHODOLOGY

Eleven patients who underwent distal gastrectomy, using reconstruction procedures of Billroth- I (B-I group: n=7) and Roux-en-Y (R-Y group: n=6), and 4 healthy volunteers (Control group) were studied. After ingestion of 200mL of liquid diet labelled with 100mg 13C-acetate, breath samples were collected every 5-15 minutes for 3 hours. The analysis of 13C-acetate enrichment was measured using infrared spectrometer.

RESULTS

Mean breath-Tmax of B-I group (14.2min) and R-Y group (13.0min) were significantly shorter compared with that of the control group (42.5min). Mean breath-T1/2 of B-I group (76.8min) and R-Y group (80.2min) were significantly shorter compared with that of the control group (133.3min). Mean breath-Cmax of B-I group (60.1min) and R-Y group (59.3min) were significantly higher than that of the control group (27.6min).

CONCLUSIONS

13C-acetate breath test was useful to evaluate gastric emptying. There were no differences in gastric emptying for both Billroth-I and Roux-en-Y reconstruction.

Authors+Show Affiliations

Department of Surgery, The University of Tokushima, Tokushima, Japan.No affiliation info availableNo 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)

Journal Article

Language

eng

PubMed ID

22234070

Citation

Kurita, Nobuhiro, et al. "Gastric Emptying in Billroth-I and Roux-en-Y Reconstruction After Distal Gastrectomy Using C-acetate Breath Test." Hepato-gastroenterology, vol. 58, no. 112, 2011, pp. 2020-3.
Kurita N, Shimada M, Utsunomiya T, et al. Gastric emptying in Billroth-I and Roux-en-Y reconstruction after distal gastrectomy using C-acetate breath test. Hepatogastroenterology. 2011;58(112):2020-3.
Kurita, N., Shimada, M., Utsunomiya, T., Iwata, T., Nishioka, M., Yoshikawa, K., Higashijima, J., Miyatani, T., Chikakiyo, M., & Nakao, T. (2011). Gastric emptying in Billroth-I and Roux-en-Y reconstruction after distal gastrectomy using C-acetate breath test. Hepato-gastroenterology, 58(112), 2020-3. https://doi.org/10.5754/hge09032
Kurita N, et al. Gastric Emptying in Billroth-I and Roux-en-Y Reconstruction After Distal Gastrectomy Using C-acetate Breath Test. Hepatogastroenterology. 2011 Nov-Dec;58(112):2020-3. PubMed PMID: 22234070.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Gastric emptying in Billroth-I and Roux-en-Y reconstruction after distal gastrectomy using C-acetate breath test. AU - Kurita,Nobuhiro, AU - Shimada,Mitsuo, AU - Utsunomiya,Tohru, AU - Iwata,Takashi, AU - Nishioka,Masanori, AU - Yoshikawa,Kozo, AU - Higashijima,Jun, AU - Miyatani,Tomohiko, AU - Chikakiyo,Motoya, AU - Nakao,Toshihiro, PY - 2012/1/12/entrez PY - 2012/1/12/pubmed PY - 2012/3/28/medline SP - 2020 EP - 3 JF - Hepato-gastroenterology JO - Hepatogastroenterology VL - 58 IS - 112 N2 - BACKGROUND/AIMS: Billroth-I and Roux-en-Y procedures have been applied generally as reconstruction techniques after distal gastrectomy. There have been few reports regarding the physiological differences of these two procedures. We compared gastric emptying after Roux-en-Y procedure with the Billroth-I procedure using the 13C-acetate breath test. METHODOLOGY: Eleven patients who underwent distal gastrectomy, using reconstruction procedures of Billroth- I (B-I group: n=7) and Roux-en-Y (R-Y group: n=6), and 4 healthy volunteers (Control group) were studied. After ingestion of 200mL of liquid diet labelled with 100mg 13C-acetate, breath samples were collected every 5-15 minutes for 3 hours. The analysis of 13C-acetate enrichment was measured using infrared spectrometer. RESULTS: Mean breath-Tmax of B-I group (14.2min) and R-Y group (13.0min) were significantly shorter compared with that of the control group (42.5min). Mean breath-T1/2 of B-I group (76.8min) and R-Y group (80.2min) were significantly shorter compared with that of the control group (133.3min). Mean breath-Cmax of B-I group (60.1min) and R-Y group (59.3min) were significantly higher than that of the control group (27.6min). CONCLUSIONS: 13C-acetate breath test was useful to evaluate gastric emptying. There were no differences in gastric emptying for both Billroth-I and Roux-en-Y reconstruction. SN - 0172-6390 UR - https://www.unboundmedicine.com/medline/citation/22234070/Gastric_emptying_in_Billroth_I_and_Roux_en_Y_reconstruction_after_distal_gastrectomy_using_C_acetate_breath_test_ DB - PRIME DP - Unbound Medicine ER -