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Reappraisal of optimal reconstruction after distal gastrectomy - a study based on the KLASS-07 database

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dc.contributor.authorPark, Shin-Hoo-
dc.contributor.authorHur, Hoon-
dc.contributor.authorPark, Jong-Hyun-
dc.contributor.authorLee, Chang-Min-
dc.contributor.authorSon, Young-Gil-
dc.contributor.authorJung, Mi Ran-
dc.contributor.authorLee, Han Hong-
dc.contributor.authorHwang, Sun-Hwi-
dc.contributor.authorLee, Moon-Soo-
dc.contributor.authorSeo, Sang Hyuk-
dc.contributor.authorJeong, In Ho-
dc.contributor.authorSon, Myoung Won-
dc.contributor.authorKim, Chang Hyun-
dc.contributor.authorYoo, Moon-Won-
dc.contributor.authorOh, Sung Jin-
dc.contributor.authorHwang, Seong Ho-
dc.contributor.authorIl Choi, Sung-
dc.contributor.authorChoi, Hyuk Soon-
dc.contributor.authorKeum, Bo-Ra-
dc.contributor.authorYang, Kyung Sook-
dc.contributor.authorPark, Sungsoo-
dc.date.accessioned2024-02-13T03:00:14Z-
dc.date.available2024-02-13T03:00:14Z-
dc.date.issued2024-01-
dc.identifier.issn1743-9191-
dc.identifier.issn1743-9159-
dc.identifier.urihttps://scholarworks.korea.ac.kr/kumedicine/handle/2021.sw.kumedicine/65433-
dc.description.abstractBackgrounds: This study aimed to compare the incidence of bile reflux, quality of life (QoL), and nutritional status among Billroth II (BII), Billroth II with Braun anastomosis (BII-B), and Roux-en-Y (RY) reconstruction after laparoscopic distal gastrectomy (LDG).Materials and methods: We reviewed the prospective data of 397 patients from a multicentre database who underwent LDG for gastric cancer between 2018 and 2020 at 20 tertiary teaching hospitals in Korea. Postoperative endoscopic findings, QoL surveys using the European Organization for Research and Treatment of Cancer questionnaire (C30 and STO22), and nutritional and surgical outcomes were compared among groups.Results: In endoscopic findings, bile reflux was the lowest in the RY group (n=67), followed by the BII-B (n=183) and BII groups (n=147) at 1 year (3.0 vs. 67.8 vs. 84.4%, all P<0.05). The anti-reflux capability of BII-B was statistically better than that of BII, but not as perfect as that of RY. From the perspective of QoL, BII-B was not inferior to RY, but better than BII reconstruction in causing fewer STO22 reflux symptoms at 6 and 12 months. However, only RY caused fewer C30 nausea symptoms than BII at 6 and 12 months, but not BII-B. Nutritional status and morbidities were similar among the three groups, and the operative time did not differ between the BII-B and RY groups.Conclusions: BII-B cannot substitute for RY in preventing bile reflux, shortening the operative time, or reducing morbidities. Regarding short-term QoL, BII-B was sufficient to reduce STO22 reflux symptoms but failed to reduce C30 nausea symptoms postoperatively.-
dc.format.extent13-
dc.language영어-
dc.language.isoENG-
dc.publisherSurgical Association-
dc.titleReappraisal of optimal reconstruction after distal gastrectomy - a study based on the KLASS-07 database-
dc.typeArticle-
dc.publisher.location네델란드-
dc.identifier.doi10.1097/JS9.0000000000000796-
dc.identifier.wosid001144567700064-
dc.identifier.bibliographicCitationInternational Journal of Surgery, v.110, no.1, pp 32 - 44-
dc.citation.titleInternational Journal of Surgery-
dc.citation.volume110-
dc.citation.number1-
dc.citation.startPage32-
dc.citation.endPage44-
dc.type.docTypeArticle-
dc.description.isOpenAccessY-
dc.description.journalRegisteredClassscie-
dc.description.journalRegisteredClassscopus-
dc.relation.journalResearchAreaSurgery-
dc.relation.journalWebOfScienceCategorySurgery-
dc.subject.keywordPlusROUX-EN-Y-
dc.subject.keywordPlusQUALITY-OF-LIFE-
dc.subject.keywordPlusGASTRIC-CANCER-
dc.subject.keywordPlusBILLROTH-II-
dc.subject.keywordPlusSURGICAL-TREATMENT-
dc.subject.keywordPlusDUODENOGASTRIC REFLUX-
dc.subject.keywordPlusRISK-FACTORS-
dc.subject.keywordPlusWEIGHT-
dc.subject.keywordPlusBYPASS-
dc.subject.keywordPlusANASTOMOSIS-
dc.subject.keywordAuthorbile reflux-
dc.subject.keywordAuthorBillroth II-
dc.subject.keywordAuthorBraun-
dc.subject.keywordAuthorgastric cancer-
dc.subject.keywordAuthorquality of life-
dc.subject.keywordAuthorRoux-en-Y-
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Anam Hospital (Department of Foregut Surgery, Anam Hospital)
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