Billroth I versus Billroth II versus Roux-en-Y after subtotal gastrectomy. Prospective [correction of prespective] randomized study.

Background/Aims: The aim of this study was to evaluate functional results after Billroth I, Billroth II and Roux-en-Y reconstruction in subtotal gastrectomy. Methodology: Forty-five patients were randomized between 1990 and 1995 and stratified in 3 different groups: 15 BI, 15 BII and 15 Roux. They were investigated by esophargogastroduodenoscopy with multiple biopsies and upper gastrointestinal scintiscanning, to evaluate gastroesophageal reflux and dynamics of gastric emptying. They also answered a questionnaire. Gastrointestinal Quality of Life Index. Results: A reflux esophagitis was found in 5 BI, in 7 BII and in 2 Roux (p<0,001). No gastric lesions were found in 6 BI, in 5 BII and in 12 Roux, (BI vs. Y, p<0.05; BII vs. Y, p<0.001). Chronic superficial gastritis was present in 9 BI, in 4 BII and in 3 Roux (BI vs, Y, p<0.05). Dynamic scintiscan demonstrated the presence of gastroesophageal reflux in 5 BI and gastric emptying was fast (37'reflux was evidant in 7 BII with slow (28'reflux was detected in 2 Roux and radioactive bolus progression in the Roux limb was fast (24'

Keywords:

• Roux-en-Y anastomosis
• Bolus (digestion)
• Reflux
• Gastroenterology
• Gastrectomy
• Surgical anastomosis
• Billroth I
• Medicine
• Reflux esophagitis
• Billroth II
• Internal medicine
• gastric emptying
• Esophagogastroduodenoscopy

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