Comparison between billroth ii and roux-y reconstruction in gastrectomy
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Abstract
Objective: To evaluate which reconstruction is considered most effective for distal gastrectomies in patients diagnosed with gastric cancer. Methods: Integrative Literature Review. This review was based on the guiding question “What is the most effective reconstruction technique for distal gastrectomies in patients with gastric cancer? The search for scientific papers was carried out in the Pubmed database. Results: Roux-en-Y reconstruction (RY) is a superior reconstruction technique than Billroth-I and Billroth-II, especially in relation to esophagitis, bile reflux and gastritis. However, the RY technique has a longer surgical time. Final considerations :There is no effective agreement between the authors about the best surgical technique to be used for reconstruction in cancer patients after distal gastrectomies. It was shown that the RY reconstruction technique, despite promoting longer surgical time, significantly reduces the rates of postoperative gastrointestinal symptoms.
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