| Roux-en-Y reconstruction is superior to billroth I reconstruction in reducing reflux esophagitis after distal gastrectomy: special relationship with the angle of his. | |
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MedLine Citation:
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PMID: 20143067 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: The aim of the present study was to evaluate the relationship between the angle of His in Roux-en-Y (RY) or Billroth I (BI) reconstruction and reflux esophagitis after distal gastrectomy for gastric cancer. METHODS: Results for 47 patients undergoing BI reconstruction and 38 patients undergoing RY reconstruction were examined retrospectively. The angle of His and the incidence of reflux esophagitis were determined, and the quality of life (QOL) was evaluated with the Gastrointestinal Symptom Rating Scale (GSRS). RESULTS: The angle of His was significantly greater in patients who underwent BI compared with RY reconstruction, as well as in patients with reflux esophagitis. Scores for reflux, diarrhea, and total symptoms on the GSRS were significantly better in the RY group than in the BI group. CONCLUSIONS: The angle of His is an important determinant of reflux esophagitis following distal gastrectomy. The decreased angle of His in patients after RY compared with BI reconstruction may contribute significantly to the reduced incidence of reflux esophagitis and improved QOL in patients who undergo RY reconstruction. |
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Authors:
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Tsutomu Namikawa; Hiroyuki Kitagawa; Takehiro Okabayashi; Takeki Sugimoto; Michiya Kobayashi; Kazuhiro Hanazaki |
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Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: World journal of surgery Volume: 34 ISSN: 1432-2323 ISO Abbreviation: World J Surg Publication Date: 2010 May |
Date Detail:
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Created Date: 2010-04-02 Completed Date: 2010-07-14 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7704052 Medline TA: World J Surg Country: United States |
Other Details:
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Languages: eng Pagination: 1022-7 Citation Subset: IM |
Affiliation:
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Department of Surgery, Kochi Medical School, Kohasu-Okocho, Nankoku, Kochi, 783-8505, Japan. tsutomun@kochi-u.ac.jp |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Anastomosis, Roux-en-Y* Esophagitis, Peptic / etiology, prevention & control* Female Gastrectomy / adverse effects* Gastroenterostomy* Humans Male Middle Aged Quality of Life Retrospective Studies Stomach Neoplasms / surgery* |
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