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billroth ii anastomosis combined with brown anastomosis reduce reflux gastritis in gastric cancer patients

World Journal of Methodology 2024年第1期14卷 71-79页

作者： Grigorios Christodoulidis Marina Nektaria Kouliou Konstantinos Eleftherios Koumarelas Konstantinos Argyriou Garyfallia Apostolia Karali Konstantinos Tepetes Department of General Surgery University Hospital of LarissaLarissa 41110Greece Department of Gastroenterology University Hospital of LarissaLarissa 41334Greece

BACKGROUND The surgeon performing a distal gastrectomy,has an arsenal of reconstruction techniques at his disposal,billroth ii among them.braun anastomosis performed during a billroth ii procedure has shown evidence of superiority over typical billroth ii,in terms of survival,with no impact on postoperative morbidity and mortality.AIM To compare billroth ii vs billroth ii and braun following distal gastrectomy,regarding their postoperative course.METHODS Patients who underwent distal gastrectomy during 2002-2021,were separated into two groups,depending on the surgical technique used(billroth ii:74 patients and billroth ii and braun:28 patients).The daily output of the nasogastric tube(NGT),the postoperative day that NGT was removed and the day the patient started per os feeding were recorded.Postoperative complications were at the same time noted.Data were then statistically analyzed.RESULTS There was difference in the mean NGT removal day and the mean start feeding day.Mean total postoperative NGT output was lower in braun group(399.17 mL vs 1102.78 mL)and it was statistically significant(Pbraun group.According to the postoperative follow up 40 patient experienced bile reflux and alkaline gastritis from the billroth ii group,while 9 patients who underwent Christodoulidis G et al.billroth ii and braun compared with billroth ii WJM https://*** 2 March 20,2024 Volume 14 Issue 1 billroth ii and braun anastomosis were presented with the same conditions(Pbillroth ii and braun vs typical billroth ii in terms of bile reflux,alkaline gastritis and NGT output.

关键词： billroth ii billroth ii and braun Reconstruction techniques Gastrectomy Distal gastrectomy

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