Postoperative Complications and Functional Results After Subtotal Gastrectomy with Billroth II Reconstruction for Primary Gastric Cancer

2007 ◽  
Vol 52 (8) ◽  
pp. 1757-1763 ◽  
Author(s):  
Corrado Pedrazzani ◽  
Daniele Marrelli ◽  
Bernardino Rampone ◽  
Alfonso De Stefano ◽  
Giovanni Corso ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Postoperative Complications ◽  
Subtotal Gastrectomy ◽  
Functional Results ◽  
Billroth Ii ◽  
Primary Gastric Cancer ◽  
Billroth Ii Reconstruction

Afferent Loop Syndrome After Subtotal Gastrectomy With Billroth-II Reconstruction: Etiology and Treatment

2016 ◽  
Vol 101 (3-4) ◽  
pp. 194-200 ◽  
Author(s):  
Sung-Heun Kim ◽  
Jong-Young Oh ◽  
Ki-Han Kim ◽  
Min-Chan Kim
Keyword(s):  
Gastric Cancer ◽  
Subtotal Gastrectomy ◽  
Primary Treatment ◽  
The Body ◽  
Mechanical Complication ◽  
Billroth Ii ◽  
Afferent Loop ◽  
Afferent Loop Syndrome ◽  
Billroth Ii Reconstruction ◽  
Gastric Cancer Patients

The aim of this study was to evaluate the clinical characteristics, treatment, and prognosis of afferent loop syndrome (ALS) following radical subtotal gastrectomy with B-II reconstruction in gastric cancer patients. ALS is an infrequent mechanical complication, which occurs after reconstruction of Billroth-II (B-II) gastrojejunostomy or Roux-en-Y esophagojejunosotomy. From 2002 through 2010, 672 patients who had undergone subtotal gastrectomy with B-II reconstruction for gastric cancer were enrolled. Clinical data, symptom interval, cause, and treatment of 13 ALS patients were reviewed. The body mass index (BMI) of patients who suffered ALS was significantly less than that of patients who did not (P = 0.0244). And, there were significant differences in rates of recurrence (P = 0.0032) and follow-up duration (P = 0.0119) between the two groups. Acute ALS within 1 month occurred in 5 patients (38.5%). Obstructive jaundice or acute pancreatitis occurred in 4 patients (30.1%). The most frequent cause was anastomosis inflammation (6 patients). Only 2 patients required surgery. Most patients with ALS were treated conservatively with or without percutaneous transhepatic biliary drainage (PTBD). Clinical suspicion is of significant importance because ALS is not common and the symptoms are nonspecific. ALS occurs more frequently in low BMI patients than high. PTBD can be considered as a primary treatment option for ALS if rupture of the afferent loop is not present.

Billroth II reconstruction in gastric cancer surgery: A good option for Western patients

2019 ◽  
Vol 218 (5) ◽  
pp. 940-945 ◽  
Author(s):  
Fausto Rosa ◽  
Giuseppe Quero ◽  
Claudio Fiorillo ◽  
Giovanni Battista Doglietto ◽  
Sergio Alfieri
Keyword(s):  
Gastric Cancer ◽  
Cancer Surgery ◽  
Good Option ◽  
Billroth Ii ◽  
Gastric Cancer Surgery ◽  
Billroth Ii Reconstruction

scholarly journals To Roux or not to Roux: a comparison between Roux-en-Y and Billroth II reconstruction following partial gastrectomy for gastric cancer

2015 ◽  
Vol 19 (3) ◽  
pp. 994-1001 ◽  
Author(s):  
Thuy B. Tran ◽  
David J. Worhunsky ◽  
Malcolm H. Squires ◽  
Linda X. Jin ◽  
Gaya Spolverato ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Partial Gastrectomy ◽  
Billroth Ii ◽  
Billroth Ii Reconstruction

scholarly journals GASTRECTOMY IN OCTOGENARIANS WITH GASTRIC CANCER: IS IT FEASIBLE?

2020 ◽  
Vol 33 (4) ◽  
Author(s):  
Francisco Diogo Almeida SILVA ◽  
Marina Alessandra PEREIRA ◽  
Marcus Fernando Kodama Pertille RAMOS ◽  
Ulysses RIBEIRO-JUNIOR ◽  
Bruno ZILBERSTEIN ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Overall Survival ◽  
Postoperative Complications ◽  
Clinical Status ◽  
Subtotal Gastrectomy ◽  
Standard Of Care ◽  
Hospital Length ◽  
Hospital Length Of Stay ◽  
Curative Intent ◽  
Clinical Complications

ABSTRACT Background: The octogenarian population is expanding worldwide and demand for gastrectomy due to gastric cancer in this population is expected to grow. However, the outcomes of surgery with curative intent in this age group are poorly reported and it is unclear what matters most to survival: age, clinical status, disease´s stage, or the extent of the surgery performed. Aim: Evaluate the results of gastrectomy in octogenarians with gastric cancer and to verify the factors related to survival. Methods: From prospective database, patients aged 80 years or older with histologically confirmed adenocarcinoma who had undergone gastrectomy with curative intent were selected. Factors related to postoperative complications and survival were studied. Results: Fifty-one patients fulfilled the inclusion criteria. A total of 70.5% received subtotal gastrectomy and in 72.5% D1 lymphadenectomy was performed. Twenty-five (49%) had complications, in eleven major complications occurred (seven of these were clinical complications). Hospital length of stay was longer (8.5 vs. 17.8 days, p=0.002), and overall survival shorter (median of 1.4 vs. 20.5 months, p=0.009) for those with complications. D2 lymphadenectomy and the presence of postoperative complications were independent factors for worse overall survival. Conclusion: Octogenarians undergoing gastrectomy with curative intent have high risk for postoperative clinical complications. D1 lymphadenectomy should be the standard of care in these patients.

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