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首页> 外文期刊>Surgical Endoscopy >Long-term functional outcomes of Roux-en-Y versus Billroth I reconstructions after laparoscopic distal gastrectomy for gastric cancer: a propensity-score matching analysis
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Long-term functional outcomes of Roux-en-Y versus Billroth I reconstructions after laparoscopic distal gastrectomy for gastric cancer: a propensity-score matching analysis

机译：Roux-Zh-Y的长期功能结果与腹腔镜远端胃切除术治疗胃癌后的长期功能结果：促进匹配分析

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BackgroundOnly a few reports discuss long-term functional outcomes and changes observed in patients over several years following a distal gastrectomy. We investigated long-term functional outcomes and changes after laparoscopic distal gastrectomy based on the analysis of postoperative conditions and endoscopic findings observed in patients.MethodsThe study group comprised 159 patients who underwent Roux-en-Y reconstruction following laparoscopic distal gastrectomy (R-Y group) between December 2008 and November 2012 and 78 patients who underwent Billroth I reconstruction (B-I group) between January 2002 and November 2012. To minimize bias between the two groups, propensity scores were calculated using a logistic regression model. The groups were compared with respect to postoperative conditions and endoscopic findings at 1, 3, and 5years postoperatively.ResultsThe B-I group demonstrated more frequent heartburn than the R-Y group at 3 and 5years postoperatively. No significant differences were found in terms of loss of body weight and food intake. Endoscopic findings showed significantly lesser residual food and remnant gastritis in the R-Y group at each annual postoperative follow-up. The incidence of bile reflux and reflux esophagitis in the B-I group gradually increased over the years and showed a significant difference at the culmination of the 5-year postoperative follow-up, compared to the R-Y group.ConclusionsRoux-en-Y reconstruction was superior to Billroth I reconstruction in terms of frequency of occurrence of residual food, bile reflux, remnant gastritis, and reflux esophagitis in the long term. Differences between the two methods became more evident as the follow-up period lengthened.
机译：背景，一些报告讨论了在远端胃切除术后几年内观察到患者的长期功能结果和变化。我们研究了基于患者术后病症和内窥镜检查结果的腹腔镜远端胃切除术后的长期功能结果和变化。方法研究组159例，腹腔镜远端胃切除术（RY组）后患者接受了Roux-ZH-Y重建的患者2008年12月和2012年11月和78例患者在2002年1月至2012年1月至11月期间接受了Billoth I重建（BI Group）。为了最大限度地减少两组之间的偏见，使用逻辑回归模型计算倾向分数。将该组与术后1,3和5年术后5年的内窥镜发现进行比较。术后，B-I组的患者比术后3和5年的R-Y组更频繁地灼伤。在体重和食物摄入量丧失方面没有发现显着差异。在每个年度术后随访的R-Y组中，内镜发现在R-Y组中显示出显着较小的残留食物和残留胃炎。胆汁反流和回流食管炎的发生率多年来逐渐增加，并与Ry Group.Conclusionsroux-en-Y重建相比，在5年的术后随访中表现出显着差异.Conclusionsroux-en-Y重建优于Billoroth I在长期内在剩余食品，胆汁回流，残余胃炎和回流食管炎的发生频率方面重建。随着随访时期延长，两种方法之间的差异变得更加明显。

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