Journal of the Korean Gastric Cancer Association  2007;7(3):139-145

doi:10.5230/jkgca.2007.7.3.139

Comparison of an Uncut Roux-en-Y Gastrojejunostomy with a Billroth I Gastroduodenostomy after Totally Laproscopic Distal Gastrectomy.

Jin Jo KIM 1 ; Sung Keun KIM ; Kyong Hwa JUN ; Kyo Young SONG ; Hyung Min CHIN ; Wook KIM ; Hae Myung JEON ; Cho Hyun PARK ; Seung Man PARK ; Keun Woo LIM ; Woo Bae PARK ; Seung Nam KIM

Affiliations

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Keywords

Uncut Roux-en-Y gastrojejunostomy; Laparoscopy; Distal gastrectomy

Country

Republic of Korea

Language

Korean

Abstract

PURPOSE: An uncut Roux-en-Y gastrojejunostomy has been known to be effective in preventing bile reflux gastritis in the remnant stomach and the Roux stasis syndrome. MATERIALS AND METHODS: To evaluate the usefulness of a totally laparoscopic uncut Roux-en-Y gastrojejunostomy (TLuRYGJ) after a distal gastrectomy, we reviewed the medical records of 19 consecutive patients that underwent a TLuRYGJ at our institution, and 11 consecutive patients who underwent a totally laparoscopic Billroth I gastrectomy (TLB-I) during the same period. RESULTS: Postoperative gastrointestinal symptoms related to the postgastrectomy syndrome and the Visick classification at six months after surgery were not different in the two groups; however, there was no case of symptomatic bile reflux gastritis and only one case of delayed gastric empting, for which medication was required, in the TLuRYGJ group. The endoscopic findings of the remnant stomach for bile reflux gastritis at six months after surgery were better in the TLuRYGJ group than in the TLB-I group. CONCLUSION: A TLuRYGJ was found to be effective in preventing bile reflux gastritis and the Roux stasis syndrome.