Billroth II with Braun Enteroenterostomy vs. Roux en Y Reconstruction Post Distal Gastrectomy | ||
| SECI Oncology Journal | ||
| Article 1, Volume 7, Issue 3, August 2019, Pages 21-29 | ||
| DOI: 10.21608/secioj.2019.47010 | ||
| Abstract | ||
| Background: Roux-en-Y reconstruction is superior to Billroth-II; it is an important factor that improves quality of life. Is modification (Braun enteroenterostomy) in Billroth-II has similar or superior effect?? Materials and methods: This study includes 34 operable patients who subjected to radical distal gastrectomy with D1 and D2 lymphadenectomy between May 2014 and Jan. 2017 at surgical oncology department, South Egypt Cancer Institute. Billroth-II with Braun enteroenterostomy versus Roux-en-Y reconstruction where done (post gastrectomy). Results: Mean operative time was 167 min (SD ±60) in Billroth-II-Braun vs. 192 min (SD ±64) in Roux-en-Y, mean blood loss was 490(SD±200) ml in Billroth-II-Braun vs. in Roux-en-Y 413(SD±232) ml, Hospital stay was 14(±5) days in Billroth-II-Braun vs. 16(±7) days in Roux-enY, all of them with p value > 0.05. Anastomotic leak occurred in 1 in Billroth-II-Braun vs. 2 in Roux-en-Y while surgical site infection occurred in 8 cases in Billroth-II-Braun and 3 in Roux-enY, pneumonia 1 case in Billroth-II-Braun and 2 in Roux-en-Y, DVT and PE 2 cases in Billroth-IIBraun p value > 0.05. The majority of dumping (early and late) occur in 7 cases in Roux-en-Y group and biliary reflux occurs in 12% of cases (1 in Billroth-II-Braun and 3 in Roux-en-Y) with p value = 0.043. Thirty-day mortality occurs in 2 cases in Billroth-II-Braun and 2 in Roux-en-Y with p value > 0.05. Anastomotic recurrence occurs in 4 cases in Billroth-II-Braun while 4 in Roux-en-Y, one case develop anastomotic. Regional lymph nodes metastasis in 1 in Billroth-IIBraun), and distant metastasis in 7 in Billroth-II-Braun and 3 in Roux-en-Y, local and distant metastasis in 2 in Billroth-II-Braun and 1 in Roux-en-Y, the mortality was 9 cases of Billroth-IIBraun, 3 in Roux-en-Y during follow up, p value > 0.05. Median of overall and disease free survival in both groups 16 months and 11 months respectively with p value > 0.05. Conclusions: Billroth-II with Braun enteroenterostomy is superior to Roux-en-Y reconstruction and improves the motility disorders | ||
| Keywords | ||
| Gastric cancer; distal gastric cancer; distal gastrectomy; Billroth II; Braun Enteroenterostomy and Roux-en-Y | ||
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