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Postoperative gastroesophageal reflux is one of the most common complications of distal gastrectomy. With more attention paid on it by surgeons, several new operation methods have been practised. Among all these, distal gastrctomy with Billroth II + Braun anastomosis was reported to be an useful method to decrease postoperative reflux rate. Meanwhile, the direction of anastomotic peristalsis has also been reported to affect the anastomosis and thus make difference in reflux rate. We design this study to investigate the potential effect and the superiority of antiperistaltic vs isoperistaltic Billroth II + Braun reconstruction in distal gastrectomy.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Antiperistaltic | Experimental | In this group patients undergo the distal gestrectomy with antiperistaltic Billroth II + Braun anastomosis |
|
| Isoperistaltic | Active Comparator | In this group patients undergo the distal gestrectomy with isoperistaltic Billroth II + Braun anastomosis |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Isoperistaltic Billroth II + Braun anastomosis | Procedure | Laparoscopic distal gestrectomy will be applied with Isoperistaltic Billroth II + Braun reconstruction |
|
| Measure | Description | Time Frame |
|---|---|---|
| Postoperative Reflux Rate | The rate of bile reflux within 1yrs postoperation | 1 yrs |
| Measure | Description | Time Frame |
|---|---|---|
| Disease-free survival | 3yrs DFS | 3yrs |
| Overall survival | 3yrs OS | 3 yrs |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Minhua Zheng, M.D. PhD. | Contact | +86-13564119545 | zmhtiger@yeah.com | |
| Jing Sun, M.D. PhD. | Contact | +86-13524284622 | sj11788@rjh.com |
| Name | Affiliation | Role |
|---|---|---|
| Minhua Zheng, M.D. PhD. | MISC, Ruijin Hospital, School of Medicine, Shanghai Jiao Tong University | Study Director |
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 28163716 | Background | Cui LH, Son SY, Shin HJ, Byun C, Hur H, Han SU, Cho YK. Billroth II with Braun Enteroenterostomy Is a Good Alternative Reconstruction to Roux-en-Y Gastrojejunostomy in Laparoscopic Distal Gastrectomy. Gastroenterol Res Pract. 2017;2017:1803851. doi: 10.1155/2017/1803851. Epub 2017 Jan 9. | |
| 27067234 | Background |
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| Antiperistaltic Billroth II + Braun anastomosis | Procedure | Laparoscopic distal gestrectomy will be applied with antiperistaltic Billroth II + Braun reconstruction |
|
| Surgery-related reflux gastritis rate |
The rate of surgery-related reflux gastritis rate |
| 1yrs |
| Surgery-related reflux esophagitis rate | The rate of surgery-related reflux esophagitis rate | 1 yrs |
| In Choi C, Baek DH, Lee SH, Hwang SH, Kim DH, Kim KH, Jeon TY, Kim DH. Comparison Between Billroth-II with Braun and Roux-en-Y Reconstruction After Laparoscopic Distal Gastrectomy. J Gastrointest Surg. 2016 Jun;20(6):1083-90. doi: 10.1007/s11605-016-3138-7. Epub 2016 Apr 11. |
| ID | Term |
|---|---|
| D013274 | Stomach Neoplasms |
| D011183 | Postoperative Complications |
| ID | Term |
|---|---|
| D005770 | Gastrointestinal Neoplasms |
| D004067 | Digestive System Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D004066 | Digestive System Diseases |
| D005767 | Gastrointestinal Diseases |
| D013272 | Stomach Diseases |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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