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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
214
Laparoscopic distal gestrectomy will be applied with Isoperistaltic Billroth II + Braun reconstruction
Laparoscopic distal gestrectomy will be applied with antiperistaltic Billroth II + Braun reconstruction
Postoperative Reflux Rate
The rate of bile reflux within 1yrs postoperation
Time frame: 1 yrs
Disease-free survival
3yrs DFS
Time frame: 3yrs
Overall survival
3yrs OS
Time frame: 3 yrs
Surgery-related reflux gastritis rate
The rate of surgery-related reflux gastritis rate
Time frame: 1yrs
Surgery-related reflux esophagitis rate
The rate of surgery-related reflux esophagitis rate
Time frame: 1 yrs
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