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Histological changes in the gastric stump mucosa and late clinical results after Billroth I, Billroth II and Roux-en-Y operations for peptic ulcer disease.
Ann Chir Gynaecol. 1988; 77(1):1-5.AC

Abstract

To study the morphological alterations and clinical outcome after gastric resection 53 patients operated on for peptic ulcer disease 5 to 7 years earlier were analyzed. The type of reconstruction was either Billroth I (n = 16), Billroth II (n = 19) or Roux-en-Y (n = 18). Vagotomy was combined with Billroth II in 7 (31%) cases and with Roux-en-Y in 8 (44%) cases. According to a modified Visick classification the late functional results were similar after Billroth reconstructions, whereas failures were most often after Roux-en-Y reconstruction (28%). No ulcer recurrences were found. The histological findings were similar in the operative specimens, but biopsies from the gastric stump mucosa 5 to 7 years after surgery showed significantly (P less than 0.05) more atrophic gastritis after Billroth operations than after Roux-en-Y reconstruction. No dysplastic changes were found. It is concluded that Roux-en-Y reconstruction causes least changes in the gastric stump mucosa after gastric resection. The delayed gastric emptying associated with this procedure may, however, cause late functional disturbances.

Authors+Show Affiliations

Second Department of Surgery, University Central Hospital, Helsinki, Finland.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

3207341

Citation

Ovaska, J T., et al. "Histological Changes in the Gastric Stump Mucosa and Late Clinical Results After Billroth I, Billroth II and Roux-en-Y Operations for Peptic Ulcer Disease." Annales Chirurgiae Et Gynaecologiae, vol. 77, no. 1, 1988, pp. 1-5.
Ovaska JT, Ekfors TO, Luukkonen PE, et al. Histological changes in the gastric stump mucosa and late clinical results after Billroth I, Billroth II and Roux-en-Y operations for peptic ulcer disease. Ann Chir Gynaecol. 1988;77(1):1-5.
Ovaska, J. T., Ekfors, T. O., Luukkonen, P. E., & Lempinen, M. J. (1988). Histological changes in the gastric stump mucosa and late clinical results after Billroth I, Billroth II and Roux-en-Y operations for peptic ulcer disease. Annales Chirurgiae Et Gynaecologiae, 77(1), 1-5.
Ovaska JT, et al. Histological Changes in the Gastric Stump Mucosa and Late Clinical Results After Billroth I, Billroth II and Roux-en-Y Operations for Peptic Ulcer Disease. Ann Chir Gynaecol. 1988;77(1):1-5. PubMed PMID: 3207341.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Histological changes in the gastric stump mucosa and late clinical results after Billroth I, Billroth II and Roux-en-Y operations for peptic ulcer disease. AU - Ovaska,J T, AU - Ekfors,T O, AU - Luukkonen,P E, AU - Lempinen,M J, PY - 1988/1/1/pubmed PY - 1988/1/1/medline PY - 1988/1/1/entrez SP - 1 EP - 5 JF - Annales chirurgiae et gynaecologiae JO - Ann Chir Gynaecol VL - 77 IS - 1 N2 - To study the morphological alterations and clinical outcome after gastric resection 53 patients operated on for peptic ulcer disease 5 to 7 years earlier were analyzed. The type of reconstruction was either Billroth I (n = 16), Billroth II (n = 19) or Roux-en-Y (n = 18). Vagotomy was combined with Billroth II in 7 (31%) cases and with Roux-en-Y in 8 (44%) cases. According to a modified Visick classification the late functional results were similar after Billroth reconstructions, whereas failures were most often after Roux-en-Y reconstruction (28%). No ulcer recurrences were found. The histological findings were similar in the operative specimens, but biopsies from the gastric stump mucosa 5 to 7 years after surgery showed significantly (P less than 0.05) more atrophic gastritis after Billroth operations than after Roux-en-Y reconstruction. No dysplastic changes were found. It is concluded that Roux-en-Y reconstruction causes least changes in the gastric stump mucosa after gastric resection. The delayed gastric emptying associated with this procedure may, however, cause late functional disturbances. SN - 0355-9521 UR - https://www.unboundmedicine.com/medline/citation/3207341/Histological_changes_in_the_gastric_stump_mucosa_and_late_clinical_results_after_Billroth_I_Billroth_II_and_Roux_en_Y_operations_for_peptic_ulcer_disease_ L2 - https://medlineplus.gov/pepticulcer.html DB - PRIME DP - Unbound Medicine ER -