Roux-en-Y Gastrojejunostomy After Totally Laparoscopic Distal Gastrectomy: Comparison With Billorth II Reconstruction

@article{Shim2014RouxenYGA,
  title={Roux-en-Y Gastrojejunostomy After Totally Laparoscopic Distal Gastrectomy: Comparison With Billorth II Reconstruction},
  author={Jung Ho Shim and Seong Il Oh and Han Mo Yoo and Hae Myung Jeon and Cho Hyun Park and Kyo Young Song},
  journal={Surgical Laparoscopy, Endoscopy \& Percutaneous Techniques},
  year={2014},
  volume={24},
  pages={448–451}
}
  • J. Shim, S. Oh, K. Song
  • Published 1 October 2014
  • Medicine
  • Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
Purpose: The purpose of this study was to compare Roux-en-Y (R-Y) reconstruction with Billroth-II (B-II) reconstruction after a totally laparoscopic distal gastrectomy (TLDG). Methods: Eighty-one consecutive TLDG procedures were performed by a single surgeon and subsequently examined. Postoperative outcomes, clinicopathologic features, and postoperative endoscopic findings between the 2 groups were evaluated and compared. Results: The mean operation time was not significantly higher in the R-Y… 
Billroth-II with Braun versus Roux-en-Y reconstruction in totally laparoscopic distal gastrectomy for gastric cancer
TLDR
B-IIB reconstruction is easier and faster to perform than R-Y reconstruction in TLDG for gastric cancer, and are safe and effective in T LDG.
Total Laparoscopic Uncut Roux-en-Y for Radical Distal Gastrectomy: An Interim Analysis of a Randomized, Controlled, Clinical Trial
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URY anastomosis is associated with a significantly lower incidence of bile reflux gastritis and roux stasis syndrome compared with BB anastoms, and the incidence of postoperative complications is significantly lower.
Comparison of Billroth I, Billroth II, and Roux-en-Y Reconstruction After Totally Laparoscopic Distal Gastrectomy: A Randomized Controlled Study
TLDR
Delta-shaped Billroth I anastomosis in totally laparoscopic distal gastrectomy for digestive tract reconstruction is simple and easy to perform, and has an advantage in postoperative gastrointestinal function recovery.
Comparison of the Long-term Outcome Between Billroth-I and Roux-en-Y Reconstruction Following Distal Gastrectomy for Gastric Cancer
TLDR
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TLDR
The totally laparoscopic uncut Roux-en-Y anastomosis in distal gastrectomy with lymph node dissection for gastric cancer is safe and feasible, with a very low rate of recanalization and reflux gastritis.
A Modified Billroth-II with Braun Anastomosis in Totally Laparoscopic Distal Gastrectomy: Initial Experience Compared with Roux-en-Y Anastomosis
TLDR
For gastric cancer patients, TLDG with modified B-II Braun reconstruction could be technically feasible and it has an acceptable range of postoperative complications and is effective in preventing bile reflux into the gastric remnant.
Comparison of Billroth I, Billroth II, and Roux-en-Y reconstructions after distal gastrectomy according to functional recovery: a meta-analysis.
TLDR
Network meta-analysis revealed that R-Y reconstruction has a lower risk and degree of residual gastritis and bile reflex than B-I and B-II reconstructions, but no differences in first oral-intake time, complications, risk of reflux esophagitis, and residual food, QoL, and body weight changes existed among the three reconstructions.
Revisiting Laparoscopic Reconstruction for Billroth 1 Versus Billroth 2 Versus Roux-en-Y After Distal Gastrectomy: A Systematic Review and Meta-Analysis in the Modern Era
TLDR
This study is the first meta-analysis comparing anastomoses inLDG and introduces novel criteria for consideration when selecting reconstructions in LDG, considering the significant differences in postoperative complications and endoscopic symptoms.
The Development and Future of Digestive Tract Reconstruction after Distal Gastrectomy: A Systemic Review and Meta-Analysis
TLDR
An indirect comparison suggested that Roux-en-Y reconstruction significantly reduces reflux gastritis, and it tended to rank first and had the highest probability of preventing bile reflux.
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