|Table of Contents|

Analysis of digestive tract reconstruction in BillrothⅠand modified BillrothⅡ after the distal gastrectomy for gastric carcinoma

Journal Of Modern Oncology[ISSN:1672-4992/CN:61-1415/R]

Issue:
2019 05
Page:
809-813
Research Field:
Publishing date:

Info

Title:
Analysis of digestive tract reconstruction in BillrothⅠand modified BillrothⅡ after the distal gastrectomy for gastric carcinoma
Author(s):
Gao Jialiang; Wang Yimin; Ma Yan
Department of Gastroenterological Surgery，Harbin Medicine University Cancer Hospital，Heilongjiang Harbin 150081，China.
Keywords:
gastric carcinoma; distal gastrectomy; digestive tract reconstruction; perioperative period; complication
PACS:
R735.2
DOI:
10.3969/j.issn.1672-4992.2019.05.023
Abstract:
Objective：To investigate the effect of BillrothⅠand modified BillrothⅡdigestive tract reconstruction after distal gastrectomy for gastric cancer patients.Methods：Clinical data and follow-up results of 451 patients，who underwent radical gastectomy for gastric cancer in gastroenterological surgery of Harbin Medical University Cancer Hospital in 2016，were analyzed retrospectively.All patients was divided into group B-Ⅰ(99 patients with B-Ⅰanastomosis) and group B-Ⅱ(352 patients with modified B-Ⅱanastomosis) as reconstruction modes.Perioperative condition，postoperative early complications and long-term clinical symptoms between the two groups were compared.Results：There was no statistically significant difference in gender，age and body mass index（BMI） between the two groups.In the perioperative period，the patients in group B-Ⅰwere in an earlier clinical stage of tumor(primary gastric cancer，56.6%) than group B-Ⅱ(35.2%).And the patients in group B-Ⅰhad smaller tumor by diameter (3.58±1.54＜4.88±2.37) cm，shorter operation time(154.68±41.86＜171.48±32.69) min，later postoperative anal flatus by time(116.14±17.70＞110.38±18.98) min than those in group B-Ⅱ，significant difference existed between the two groups(P<0.05).But the first oral feeding time(129.62±33.30＞123.96±52.07) min had no significant difference(P>0.05).As for postoperative early complications，the incidences of gastric weakness，anastomotic bleeding，lymphatic leakage and ileus in the two groups were less than 5%，there was no significant difference between the two groups(P>0.05).In terms of postoperative long-term symptoms，the incidence of dumping syndrome in the two groups was 3% and 9.4%，respectively，and the incidence of bile reflux was 17.2% and 6.8%，respectively.There were significant differences between the two groups(P<0.05).There were no significant differences in other symptoms such as emaciation，abdominal distention and gastric remnant anastomosis(P>0.05).Conclusion：Compared with B-Ⅰoperation，modified B-Ⅱoperation can reduce bile reflux and related complications to improve the life quality of the patients.

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Memo

Memo:
哈尔滨市应用技术研究与开发项目（优秀学科带头人 B类）（编号：2017RAXXJ054）
Last Update: 2019-02-01