title: Comparison Between Billroth-II with Braun and Roux-en-Y Reconstruction After Laparoscopic Distal Gastrectomy.
abstract: This study aims to compare the effectiveness of Billroth-II with Braun and Roux-en-Y reconstruction after laparoscopic distal gastrectomy.
  
  
  
  From April 2010 to August 2012, 66 patients underwent laparoscopic distal gastrectomy (Billroth-II with Braun reconstruction, 26; Roux-en-Y, 40). The patients' data were collected prospectively and reviewed retrospectively.
  
  
  
  The mean operation and reconstruction times were statistically shorter for Billroth-II with Braun reconstruction than Roux-en-Y (198.1 ± 33.0 vs. 242.3 ± 58.1 min, p = 0.001). One case of postoperative stricture was observed in each group. One case each of intra-abdominal abscess and delayed gastric emptying occurred in the Billroth-II with Braun group. At 1 year postoperatively, gastric residue and reflux esophagitis were not significantly different between the groups. Gastritis and bile reflux were more frequently observed in the Billroth-II with Braun group (p = 0.004 and p < 0.001, respectively). At 2 years postoperatively, gastric residue was not significantly different, but gastritis, bile reflux, and esophagitis were more frequent in the Billroth-II with Braun group (p = 0.029, p < 0.001, and p = 0.036, respectively).
  
  
  
  The postoperative effectiveness of Roux-en-Y reconstruction may be superior to Billroth-II with Braun reconstruction after laparoscopic distal gastrectomy.
authors.affiliation: Department of Surgery, Biomedical Research Institute, Pusan National University Hospital, Busan, South Korea.
authors.forename: Chang
authors.initials: C
authors.lastname: In Choi
authors.affiliation: Department of Internal Medicine, Biomedical Research Institute, Pusan National University Hospital, Busan, South Korea.
authors.forename: Dong Hoon
authors.initials: DH
authors.lastname: Baek
authors.affiliation: Department of Surgery, Biomedical Research Institute, Pusan National University Yangsan Hospital, Yangsan, South Korea.
authors.forename: Si Hak
authors.initials: SH
authors.lastname: Lee
authors.affiliation: Department of Surgery, Biomedical Research Institute, Pusan National University Yangsan Hospital, Yangsan, South Korea.
authors.forename: Sun Hwi
authors.initials: SH
authors.lastname: Hwang
authors.affiliation: Department of Surgery, Biomedical Research Institute, Pusan National University Hospital, Busan, South Korea. dh2-kim@hanmail.net.
authors.forename: Dae Hwan
authors.initials: DH
authors.lastname: Kim
authors.affiliation: Department of Internal Medicine, Biomedical Research Institute, Pusan National University Hospital, Busan, South Korea.
authors.forename: Kwang Ha
authors.initials: KH
authors.lastname: Kim
authors.affiliation: Department of Surgery, Biomedical Research Institute, Pusan National University Hospital, Busan, South Korea.
authors.forename: Tae Yong
authors.initials: TY
authors.lastname: Jeon
authors.affiliation: Department of Surgery, Biomedical Research Institute, Pusan National University Hospital, Busan, South Korea.
authors.forename: Dong Heon
authors.initials: DH
authors.lastname: Kim
mesh_terms: D018784:Abdominal Abscess / Q000209:etiology; D000368:Aged; D000713:Anastomosis, Roux-en-Y / Q000009:adverse effects; D001655:Bile Reflux / Q000209:etiology; D003251:Constriction, Pathologic / Q000209:etiology; D004942:Esophagitis, Peptic / Q000209:etiology; D005260:Female; D005743:Gastrectomy / Q000009:adverse effects / Q000379:methods*; D005746:Gastric Emptying; D005756:Gastritis / Q000209:etiology; D005763:Gastroenterostomy / Q000009:adverse effects; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D061646:Operative Time; D011183:Postoperative Complications / Q000209:etiology*; D012189:Retrospective Studies; D013274:Stomach Neoplasms / Q000601:surgery*
keywords: Anastomosis; Billroth-II; Gastrectomy; Roux-en-Y