J Korean Gastric Cancer Assoc.  2007 Sep;7(3):139-145.

Comparison of an Uncut Roux-en-Y Gastrojejunostomy with a Billroth I Gastroduodenostomy after Totally Laproscopic Distal Gastrectomy

• Kim JJ
• Kim SK
• Jun KH
• Song KY
• Chin HM
• Kim W
• Jeon HM
• Park CH
• Park SM
• Lim KW
• Park WB
• Kim SN

Abstract

PURPOSE: An uncut Roux-en-Y gastrojejunostomy has been known to be effective in preventing bile reflux gastritis in the remnant stomach and the Roux stasis syndrome.
MATERIALS AND METHODS
To evaluate the usefulness of a totally laparoscopic uncut Roux-en-Y gastrojejunostomy (TLuRYGJ) after a distal gastrectomy, we reviewed the medical records of 19 consecutive patients that underwent a TLuRYGJ at our institution, and 11 consecutive patients who underwent a totally laparoscopic Billroth I gastrectomy (TLB-I) during the same period.
RESULTS
Postoperative gastrointestinal symptoms related to the postgastrectomy syndrome and the Visick classification at six months after surgery were not different in the two groups; however, there was no case of symptomatic bile reflux gastritis and only one case of delayed gastric empting, for which medication was required, in the TLuRYGJ group. The endoscopic findings of the remnant stomach for bile reflux gastritis at six months after surgery were better in the TLuRYGJ group than in the TLB-I group.
CONCLUSION
A TLuRYGJ was found to be effective in preventing bile reflux gastritis and the Roux stasis syndrome.

Keyword

Uncut Roux-en-Y gastrojejunostomy; Laparoscopy; Distal gastrectomy

MeSH Terms

Bile Reflux
Classification
Gastrectomy*
Gastric Bypass*
Gastric Stump
Gastritis
Gastroenterostomy*
Humans
Laparoscopy
Medical Records
Postgastrectomy Syndromes