Comparison of the Results in Gastric Carcinoma Patients undergoing Billroth I and Billroth II Gastrectomiesy.
10.5230/jkgca.2007.7.1.16
- Author:
Sung Geun KIM
1
;
Young Kyun KIM
;
Youn Jung HEO
;
Kyo Young SONG
;
Jin Jo KIM
;
Hyung Min JIN
;
Wook KIM
;
Cho Hyun PARK
;
Seung Man PARK
;
Keun Woo LIM
;
Seung Nam KIM
;
Hae Myung JEON
Author Information
1. Department of Surgery, College of Medicine, The Catholic University of Korea, Seoul, Korea. hmjeon@catholic.ac.kr
- Publication Type:Original Article
- Keywords:
Gastric cancer;
Billroth I;
Billroth II;
Gastric-emptying time;
Quality of life
- MeSH:
Adenocarcinoma;
Dumping Syndrome;
Eating;
Gamma Cameras;
Gastrectomy;
Gastroenterostomy*;
Humans;
Nutritional Status;
Ovum;
Postgastrectomy Syndromes;
Quality of Life;
Radionuclide Imaging;
Steam;
Stomach Neoplasms;
Weight Loss
- From:Journal of the Korean Gastric Cancer Association
2007;7(1):16-22
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: The proper reconstruction technique to use after a distal subtotal gastrectomy for a gastric carcinoma, there has been a subject for debated what is the proper reconstruction technique. The aim of this study was to compare the gastric- emptying time and the quality of life following both B-I and B-II reconstructions after a distal gastrectomy for a gastric adenocarcinoma. MATERIALS AND METHODS: We studied 122 patients who had undergone a distal gastrectomy for a gastric adenocarcinoma between June 1999 and July 2002 at our hospital. 51 patients underwent B-I group, and 71 patients underwent B-II group. To evaluate the gastric-emptying time, we analyzed the T1/2 time by means of radionuclide scintigraphy using a gamma camera after ingestion of an (99m)Tc-tin-colloid steamed egg. The nutritional status was measured by the weight change. Postgastrectomy syndrome was evaluated using an abdominal symptoms survey. Dumping syndrome was measured using the Sigstad dumping score. RESULTS: The gastric-emptying time was somewhat delayed in the B-I group after a 6 month period, but there was no difference after 12 months between the two groups. There was less weight loss in the B-I group than in the B-II group (P=0.023). Fewer abdominal symptoms were occurred in the B-I group than in the B-II group. Dumping syndrome occurred less frequently in the B-I group than in the B-II group (P=0.013). CONCLUSION: In our study, the Billroth I reconstruction led to less weight loss, a better nutritional status, and a better quality of life than the Billroth II reconstruction. We concluded that after a distal subtotal gastrectomy, the Billroth I reconstruction would be considered when the procedure is oncologically suitable.
