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 esophagogastroduodenoscopy 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 (131 us. Y, p < 0.05). Dynamic scintiscan demonstrated the presence of gastroesophageal reflux in 5 BI and gastric emptying was fast (37'<T1/2<86'), but incomplete (60' residual activity: 49-62%). Gastroesophageal reflux was evident in 7 BII with slow (28'< T1/2 < 143) and incomplete (60' residual activity: 48-72%) gastric emptying. Gastroesophageal reflux was detected in 2 Roux and radioactive bolus progression in the Roux limb was fast (24'<T1/2<53') and complete (60' residual activity: 42-52%) (BI vs. Y; BII vs. Y, p<0,001). There was no statistical significance, between Gastrointestinal Quality of Life Index score in the 3 groups. Conclusions: The Authors affirm that Roux-en-Y is the technique of choice in subtotal gastrectomy, if compared with BI and BII.

Billroth I versus Billroth II versus Roux-en-Y after subtotal gastrectomy. Prospective [correction of prespective] randomized study / Montesani, Chiara; D'Amato, Alberto; Santella, S; Pronio, Annamaria; Giovannini, C; Cristaldi, M; Ribotta, G.. - In: HEPATO-GASTROENTEROLOGY. - ISSN 0172-6390. - STAMPA. - 49:(2002), pp. 1469-1473.

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

MONTESANI, Chiara;D'AMATO, Alberto;PRONIO, Annamaria;
2002

Abstract

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 esophagogastroduodenoscopy 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 (131 us. Y, p < 0.05). Dynamic scintiscan demonstrated the presence of gastroesophageal reflux in 5 BI and gastric emptying was fast (37'
2002
01 Pubblicazione su rivista::01a Articolo in rivista
Billroth I versus Billroth II versus Roux-en-Y after subtotal gastrectomy. Prospective [correction of prespective] randomized study / Montesani, Chiara; D'Amato, Alberto; Santella, S; Pronio, Annamaria; Giovannini, C; Cristaldi, M; Ribotta, G.. - In: HEPATO-GASTROENTEROLOGY. - ISSN 0172-6390. - STAMPA. - 49:(2002), pp. 1469-1473.
File allegati a questo prodotto
Non ci sono file associati a questo prodotto.

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/503728
 Attenzione

Attenzione! I dati visualizzati non sono stati sottoposti a validazione da parte dell'ateneo

Citazioni
  • ???jsp.display-item.citation.pmc??? 15
  • Scopus 66
  • ???jsp.display-item.citation.isi??? 54
social impact