Modified Billroth-I reconstruction after distal gastrectomy

Hoya, Yoshiyuki; Taki, Tetsuya; Hoshino, Masato; Shida, Atsuo; Kohno, Shuzou; Okamoto, Tomoyoshi; Yanaga, Katsuhiko

doi:10.1007/s10120-009-0498-7

Cited by 3 publications

(3 citation statements)

References 7 publications

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“…23,24 From the above-mentioned details, we developed PRG with the advantage of both methods of B-I and R-Y and have already demonstrated the short-term results that our PRG is superior to the conventional B-I in preventing DGR. 12 In this study, the PRG for gastric cancer seems to be effective for a long time; further robust clinical studies and the collection of large-scale data are still required.…”

Section: Discussionmentioning

confidence: 97%

“…12 The gastric mucosa is briefly divided 2 cm distal to the free edge of the seromuscular layer, which is everted and sutured to the edge of seromuscular layer using eight stitches with 3-0 absorbable sutures. The duodenum and the remnant stomach are anastomosed end-to-end by two layers to reconstruct the pylorus.…”

Section: Methodsmentioning

confidence: 99%

“…9 We developed the newly developed modified technique of B-I (pylorus reconstruction gastrectomy: PRG) with the advantage of both methods of B-I and R-Y 10,11 and have reported the short-term results of PRG. 12 PRG is a simple and safe anastomotic technique that Long-term QOL improvement following PRG * Yoshiyuki Hoya hoya@jikei.ac.jp retains the virtue of the conventional B-I and with reduced incidence of remnant gastritis by DGR, dumping syndrome, and body weight loss after distal gastrectomy. We examined it in the patients passed more than 3 years after the operation whether the effect of PRG continued for a long term.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Durable Flap-Valve Mitigation of Duodenogastric Reflux, Remnant Gastritis and Dumping Syndrome Following Billroth I Reconstruction

Hoya

Taki

Watanabe

et al. 2016

Journal of Gastrointestinal Surgery

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Section: Discussionmentioning

confidence: 97%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Durable Flap-Valve Mitigation of Duodenogastric Reflux, Remnant Gastritis and Dumping Syndrome Following Billroth I Reconstruction

Hoya

Taki

Watanabe

et al. 2016

Journal of Gastrointestinal Surgery

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Usefulness of Pyloric Reconstruction Without Compromising Curative Resection in Gastric Cancer Treatment

Hoya

Taki

Tanaka

et al. 2012

Journal of Gastrointestinal Surgery

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The effect of continuous jejunal interposition on gastrointestinal hormones after distal gastrectomy

Lv¹,

Ye²,

Shao³

et al. 2012

Bosn J of Basic Med Sci

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The objective of our study was to determine the effect of continuous jejunal interposition on gastrointestinal hormones after distal gastrectomy, and lay a foundation for surgical management.Distal subtotal gastrectomy experimental model were established on 24 adult Beagle dogs. Digestive tract reconstruction of the dogs was randomly divided into continuous jejunal interposition group, Billroth II anastomosis group and isolated jejunum interposition group. The content of serum gastrin, plasma motilin and cholecystokinin after different digestive tract reconstructions was detected and compared by enzyme-linked immunosorbent assay. In the dogs which received continuous jejunal interposition, postoperative serum gastrin level was significantly lower than before surgery either in fasting or postprandial state (all p<0.05). The serum gastrin level of continuous jejunal interposition group was significantly higher than the other groups in postprandial state (all p<0.05), and was significantly higher than Billroth II -type anastomosis group in fasting state (p<0.05). Furthermore, the postoperative plasma motilin and cholecystokinin levels were significantly higher than before surgery either in fasting or postprandial in dogs received continuous jejunal interposition (all p<0.05). The postoperative plasma motilin level of continuous jejunal interposition group was significantly higher than the other groups in postprandial state (all p<0.05), and was significantly higher than Billroth II -type anastomosis group in fasting state (p<0.05). However, the postoperative cholecystokinin level of continuous jejunal interposition group was significantly lower than the other groups (all p <0.05).Continuous jejunal interposition after distal gastrectomy could maintain the postoperative plasma motilin and serum gastrin in a relatively high level, while cholecystokinin in a low level.

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Modified Billroth-I reconstruction after distal gastrectomy

Cited by 3 publications

References 7 publications

Durable Flap-Valve Mitigation of Duodenogastric Reflux, Remnant Gastritis and Dumping Syndrome Following Billroth I Reconstruction

Durable Flap-Valve Mitigation of Duodenogastric Reflux, Remnant Gastritis and Dumping Syndrome Following Billroth I Reconstruction

Usefulness of Pyloric Reconstruction Without Compromising Curative Resection in Gastric Cancer Treatment

The effect of continuous jejunal interposition on gastrointestinal hormones after distal gastrectomy

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