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Review
. 2017 Oct-Dec;30(4):267-271.
doi: 10.1590/0102-6720201700040010.

SINGLE ANASTOMOSIS GASTRIC BYPASS (ONE ANASTOMOSIS GASTRIC BYPASS OR MINI GASTRIC BYPASS): THE EXPERIENCE WITH BILLROTH II MUST BE CONSIDERED AND IS A CHALLENGE FOR THE NEXT YEARS

[Article in English, Portuguese]
Italo Braghetto  1 , Attila Csendes  1
Affiliations
Review

SINGLE ANASTOMOSIS GASTRIC BYPASS (ONE ANASTOMOSIS GASTRIC BYPASS OR MINI GASTRIC BYPASS): THE EXPERIENCE WITH BILLROTH II MUST BE CONSIDERED AND IS A CHALLENGE FOR THE NEXT YEARS

[Article in English, Portuguese]
Italo Braghetto et al. Arq Bras Cir Dig. 2017 Oct-Dec.

Abstract
in English, Portuguese

Introduction: Single anastomosis gastric bypass (one anastomosis gastric bypass or mini-gastric bypass) has been presented as an option of surgical treatment for obese patients in order to reduce operation time and avoiding eventual postoperative complications after Roux-en-Y gastric bypass.The main late complication could be related to bile reflux.

Aim: To report the experiences published after Billroth II anastomosis and its adverse effects regarding symptoms and damage on the gastric and esophageal mucosa .

Method: For data recollection Medline, Pubmed, Scielo and Cochrane database were accessed, giving a total of 168 papers being chosen 57 of them.

Results: According the reported results during open era surgery for peptic disease and more recent results for gastric cancer surgery, bile reflux and its consequences are more frequent after Billroth II operation compared to Roux-en-Y gastrojejunal anastomosis.

Conclusion: These findings must be considered for the indication of bariatric surgery.

Bypass com anastomose única ou mini-bypass gástrico foi apresentado como oopção de tratamento cirúrgico para pacientes obesos, a fim de reduzir o tempo da operação e evitar complicações pós-operatórias após bypass gástrico Y-de-Roux. A principal complicação tardia pode estar relacionada ao refluxo biliar.

Relatar as experiências publicadas após a anastomose Billroth II e seus efeitos adversos em relação aos sintomas e danos sobre a mucosa gástrica e esofágica.

A coleta de dados foi baseada na busca nas bases Medline, Pubmed, Scielo e Cochrane. Um total de 168 artigos foram revisados, tendo sido escolhidos 57 deles.

De acordo com os resultados relatados durante a operação da era aberta para doença péptica e resultados mais recentes para o tratamento cirúrgico do câncer gástrico, o refluxo biliar e suas consequências são mais frequentes após o Billroth II em comparação com a anastomose gastrojejunal em Y-de-Roux.

Esses achados devem ser considerados para a indicação de cirurgia bariátrica.

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Conflict of interest statement

Conflict of interest: none

Figures

FIGURE 1
FIGURE 1. Examination of duodenogastric reflux by 99mTc-ethyl hepatic iminodiacetic acid test: A) negative: B) positive
FIGURE 2
FIGURE 2. Mechanisms involved in the development of stump gastric cancer after distal gastrectomy
See this image and copyright information in PMC

References

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