위아전절제술시 짧은 Roux limb을 적용한 Uncut Roux-en-Y 위-공장 재건술식의 임상적 고찰
A Clinical Study of the Uncut Roux-en-Y Gastrojejunostomy Using a Short Roux Limb after Subtotal Gastrectomy
노승무, 배진선, 정현용, 이병석, 조준식, 신경숙, 송규상, 이태용,
소속 상세정보
노승무 ( Noh Seung-Moo )
충남대학교 의과대학 외과학교실
배진선 ( Bae Jin-Sun )
충남대학교 의과대학 외과학교실
정현용 ( Jeong Hyun-Yong )
충남대학교 의과대학 내과학교실
이병석 ( Lee Byung-Seok )
충남대학교 의과대학 내과학교실
조준식 ( Cho Joon-Sik )
충남대학교 의과대학 진단방사선과학교실
신경숙 ( Shin Kyung-Sook )
충남대학교 의과대학 진단방사선과학교실
송규상 ( Song Kyu-Sang )
충남대학교 의과대학 조직병리학
이태용 ( Lee Tae-Yong )
충남대학교 의과대학 예방의학교실
KMID : 0371320010610010051
Abstract
Purpose
The restoration of intestinal continuity following subtotal gastrectomy for gastric malignancy as well as benign gastric disease is an important area for research. The aim of this study was to compare the uncut Roux-en-Y reconstruction using a
short
Roux limb (20 to 30 cm) with the uncut Roux-en-Y reconstruction using a long Roux limb (more than 40 cm).
Methods
48 patients (33 men and 15 women) underwent uncut Roux-en-Y reconstruction using a short Roux limb (short Roux limb group), and 32 patients (19 men and 13 women) had the Roux-en-Y operation using a long Roux limb (long Roux limb group). We
assessed
the
outcome of these operations on the occurrence of Roux stasis syndrome, the endoscopic findings, and the required period for the nasogastric tube.
Results
Roux stasis syndrome occurred in 9 patients (18.8%) in the short Roux limb group, and in 10 patients (31.3%) in the long Roux limb group (p value 0.201). Pathological endoscopic finding were observed in 5 patients (10.4%) in the short Roux limb
group,
and in 6 patients (18.8%) in the long Roux limb group (p=0.292).
Conclusion
Comparing the short Roux limb group with the long Roux limb group in uncut Roux-en-Y reconstruction after subtotal gastrectomy, We can conclude that uncut Roux-en-Yreconstruction using a short Roux limb is an effective reconstruction procedure to
alleviate Roux stasis syndrome, reflux gastritis and esophagitis.
키워드
위아전절제술; 짧은 Roux limb; 긴 Roux limb; Roux; 위-공장재건술; Roux 정체증후군; Subtotal gastrectomy; Short Roux limb; Long Roux limb; Roux-en-Y gastrojejunostomy; Roux stasis syndrome;
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