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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

Ovaska JT
Second Department of Surgery, University Central Hospital, Helsinki, Finland.
Ekfors TO
No affiliation info available
Luukkonen PE
No affiliation info available
Lempinen MJ
No affiliation info available

MeSH

Anastomosis, Roux-en-YBiopsyFemaleFollow-Up StudiesGastrectomyGastric MucosaGastritisGastritis, AtrophicGastroscopyHumansMaleMetaplasiaMiddle AgedPeptic UlcerPostoperative ComplicationsPrecancerous ConditionsStomach Neoplasms

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_ DB - PRIME DP - Unbound Medicine ER -