[Postoperative course following stomach resection: a comparison of Billroth I, Billroth II and Roux-en-Y resection-reconstruction].
53 patients who underwent gastric resection and reconstruction either by Roux-en-Y gastro-jejunostomy, Billroth I or Billroth II operation, were followed for an average of three years and compared for clinical status using the Visick grading system, dumping grading by the method of Sigstad, and careful clinical questioning regarding post-gastrectomy symptoms. Response to a standardized questionnaire and objective grading showed that our results for individual operations compared well with others reports. However, the Roux-en-Y reconstruction showed significantly better results when compared to Billroth I, and especially Billroth II, reconstruction. It is concluded that partial gastrectomy with Roux-en-Y reconstruction is the preferred approach, provided that, in the light of the pathology encountered at operation, the procedure is technically feasible and adequate.
Universitätsklinik für Viszerale und Transplantationschirurgie, Inselspital, Bern.
W
W
Schweizer
T
T
Blunschi
P
P
Gertsch
L H
LH
Blumgart
D000713:Anastomosis, Roux-en-Y; D004377:Dumping Syndrome / Q000175:diagnosis; D005260:Female; D005500:Follow-Up Studies; D005743:Gastrectomy / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011178:Postgastrectomy Syndromes / Q000175:diagnosis*; D011788:Quality of Life
Postoperativer Verlauf nach Magenresektionen: ein Vergleich von Billroth I, Billroth II und Resektion mit Roux-Y-Rekonstruktion.