The Role of Billroth I Type Gastroduodenostomy in the Treatment of Gastric-duodenal Ulcers

International Journal of Medical Science
© 2023 by SSRG - IJMS Journal
Volume 10 Issue 4
Year of Publication : 2023
Authors : Mehmet Sait Ozsoy
pdf
How to Cite?

Mehmet Sait Ozsoy, "The Role of Billroth I Type Gastroduodenostomy in the Treatment of Gastric-duodenal Ulcers," SSRG International Journal of Medical Science, vol. 10,  no. 4, pp. 8-12, 2023. Crossref, https://doi.org/10.14445/23939117/IJMS-V10I4P102

Abstract:

In this study, patients who applied to our clinic due to peptic ulcer and its complications and underwent Billroth I type gastroduodenostomy were evaluated. The findings of 51 patients who were followed up from 74 patients who applied to our clinic with peptic ulcer and its complications between February 1987 and June 1995, who were diagnosed with a surgical indication as a result of the examinations and who were treated with Billroth I type gastroduodenostomy were evaluated. The patients were followed for an average of 5.7 years (2-10 years). The mean age of the patients was 43 years, 8 were female, and 43 were male, and surgical intervention was decided with 4 different indications. Surgery was performed once in 9 patients (17%) and 2 times in 2 patients (4%). Thirty (58%) patients with surgical indications were operated for pyloric stenosis. The mean operation time was 126 minutes (95-170). Morbidity was 10 %( 5 patients) and mortality was 2 %( 1 patient). The mean postoperative hospital stay ranged between 12 and 1 day (9-22). In this study; considering the developments in the diagnosis and treatment of peptic ulcer; we concluded that Billroth I type gastroduodenostomy is a good alternative in patients with complications and surgical indications because the passage is physiological, the postoperative complications are less than other methods, and the long-term results are satisfactory.

Keywords:

Stomach, Duodenum, Peptic ulcer, Complication, Billroth I.

References:

[1] Harvey V Fineberg, and Laurie A Pearlman, “Surgical Treatment of Peptic Ulcer in the United States: Trends before and after the Introduction of Cimetidine,” Lancet, vol. 317, no. 8233, pp. 1305-1307, 1981.
[CrossRef] [Google Scholar] [Publisher Link]
[2] Stabile BE, and Passor E, “Duodenal Ulcer: A Disease in Evaluation” Curr.Surg, vol. 114, pp. 1153-1156, 1979.
[3] A. Hedley Visick, “A Study of the Failures after Gastrectomy,” Annals of the Royal College of Surgeons of England, vol. 3, no. 5, pp. 266-284, 1948.
[Google Scholar] [Publisher Link]
[4] Paul H. Jordan, “Surgery for Peptic Ulcer Disease,” Current Problems in Surgery, vol. 28, no. 4, pp. 265-330, 1991.
[CrossRef] [Google Scholar] [Publisher Link]
[5] Becker HD, and Peiper HJ, “Ulcus ventriculi, Chirurgish Symposion Gottingen” Herousgegeben, George Thiere Verlag Stuttgart, pp. 69- 71, 1977.
[6] Stephen Sontag et al., “Cimetidine, Cigarette Smoking, and Recurrence of Duodenal Ulcer,” The New England Journal of Medicine, vol. 311, pp. 689-93, 1984.
[CrossRef] [Google Scholar] [Publisher Link]
[7] V. M. Thompson et al., “Radiologic Investigation of Peptic Ulcer Disease,” Radiologic Clinics of North America, vol. 20, no. 4, pp. 701-720, 1982.
[Google Scholar] [Publisher Link]
[8] Mark Feldman, Gastrointestinal Disease Sleisenger/Fordtran, 4th Edition, Elsevier, pp. 659-734 and 814-897, 1989.
[Google Scholar]
[9] John Boey, and John Wong, “Perforated Duodenal Ulcers,” World Journal of Surgery, vol. 11, no. 3, pp. 319–324, 1987.
[Google Scholar] [Publisher Link]
[10] Wangensteen SL, Wray RC, and Golden GT, “Perforated duodenal ulcer” Am J Surg, vol. 123, no. 5, pp. 538-542, 1972.
[11] S. Lukasiewicz, and K. Jonderko, “Partial Gastric Resection for Peptic Ulcer--Comparison of the Effect of Variant Reconstructive Procedures on Gastric Emptying, Gastric Acid Secretion and Gastrin Release in the Early Postoperative Period ii. Billroth-i Gastroduodenostomy and Comparison Versus Gastroenteroanastomotic Procedures,” East African Medical Journal, vol. 71, no. 7, pp. 414-420, 1994.
[Google Scholar] [Publisher Link]
[12] M. Sowa et al., “Early Cancer of the Gastric Remnant with Special Reference to the Importance of Follow-up of Gastrectomized Patients,” European Journal of Surgical Oncology: the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology, vol. 19, no. 1, pp. 43-49, 1993.
[Google Scholar] [Publisher Link]
[13] Wallace P. Ritchie, “Alkaline Reflux Gastritis: An Objective Assessment of Its Diagnosis and Treatment,” Annals of Surgery, vol. 192, no. 3, pp. 288-298, 1980.
[Google Scholar] [Publisher Link]
[14] Romano Delcore, and Lawrence Y. Cheung, “Surgical Options in Postgastrectomy Syndromes,” Surgical Clinics of North America, vol. 71, no. 1, pp. 57-75, 1991.
[CrossRef] [Google Scholar] [Publisher Link]
[15] Schwartz I. Seymour et al., Maingot's Abdominal Operations, Appleton & Lange, 9th Edition, pp. 599-678 and 701-770, 1990.
[Google Scholar] [Publisher Link]
[16] M M Eisenberg et al., “Vagotomy and Drainage Procedure for Duodenal Ulcer: The Results of Ten Years' Experience,” Annals of Surgery, vol. 170, no. 3, pp. 317-328, 1969.
[CrossRef] [Google Scholar] [Publisher Link]
[17] John A. Heerden, “Stomach Surgery,” Scientific and Technical Publications Translation Foundation, Istanbul, p.76, 1994.
[18] Sverre Emås, Gorgi Grupcev, and Bo Eriksson, “Ten-year Follow-Up of A Prospective, Randomized Trial of Selective Proximal Vagotomy with Ulcer Excision and Partial Gastrectomy with Gastroduodenostomy for Treating Corporeal Gastric Ulcer,” American Journal of Surgery, vol. 167, no. 6, pp. 596-600, 1994.
[CrossRef] [Google Scholar] [Publisher Link]
[19] Min Seo Kim et al., “Revisiting Laparoscopic Reconstruction for Billroth 1 versus Billroth 2 Versus Roux-en-Y after Distal Gastrectomy: A Systematic Review and Meta-Analysis in the Modern Era,” World Journal of Surgery, vol. 53, pp. 1581-1593, 2019.
[CrossRef] [Google Scholar] [Publisher Link]
[20] Kyu-Chul Kang et al., “Comparison of Billroth I and Billroth II Reconstructions after Laparoscopy-Assisted Distal Gastrectomy: A Retrospective Analysis of Large-Scale Multicenter Results from Korea,” Surgical Endoscopy, vol. 25, no. 6, pp. 1953-1961, 2011.
[CrossRef] [Google Scholar] [Publisher Link]
[21] M.S. Ganesh, K.G. Reddy, and D.S. Venkata Subbareddy, “The Feasibility and Advantages of Billroth-I Reconstruction in Distal Gastric Cancers Following Resection,” Indian Journal of Cancer, vol. 49, no. 2, pp. 251-253, 2012.
[CrossRef] [Google Scholar] [Publisher Link]
[22] Birendra K Sah et al., “Gastric cancer surgery,” BMC Cancer, vol. 9, no. 1, pp. 1-8, 2009.