9.0 days, P=0.000) and shorter median time of postoperative hospital stay (8.0 days vs. 8.0 days, P=0.000), shorter median time to remove the first abdominal drainage tube (7.0 days vs. 4.0 days, P=0.038), shorter median time to the first liquid diet (7.0 days vs. 2.0) between LS group and CS group were not significantly different (all P>0.05) As compared to CS group, LS group presented shorter median time to the first flatus (3.0 days vs. 26.0) and median number of positive lymph node (1.0 vs. 50.0 ml), median number of harvested lymph node (28.0 vs. 234 min), median intra-operative blood loss (50.0 ml vs. Gastritis and bile reflux were more frequently observed in the Billroth-II with Braun group (p = 0.004 and p 0.05). At 1 year postoperatively, gastric residue and reflux esophagitis were not significantly different between the groups. One case each of intra-abdominal abscess and delayed gastric emptying occurred in the Billroth-II with Braun group. One case of postoperative stricture was observed in each group. The mean operation and reconstruction times were statistically shorter for Billroth-II with Braun reconstruction than Roux-en-Y (198.1 ± 33.0 vs. The patients' data were collected prospectively and reviewed retrospectively. From April 2010 to August 2012, 66 patients underwent laparoscopic distal gastrectomy ( Billroth-II with Braun reconstruction, 26 Roux-en-Y, 40). This study aims to compare the effectiveness of Billroth-II with Braun and Roux-en-Y reconstruction after laparoscopic distal gastrectomy. In Choi, Chang Baek, Dong Hoon Lee, Si Hak Hwang, Sun Hwi Kim, Dae Hwan Kim, Kwang Ha Jeon, Tae Yong Kim, Dong Heon All rights reserved.Ĭomparison Between Billroth-II with Braun and Roux-en-Y Reconstruction After Laparoscopic Distal Gastrectomy.
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The results generated by bariatric surgery are encouraging, but still do not clarify the precise way how surgery produces rapid improvement of systemic metabolism as in diabetes, but in our patient, the effect was quite different because the gastric bypass had no protective effect against diabetes. He is normal weight and not had weight gain that could be linked to the development of diabetes.
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The patient with gastric bypass Billroth II type, should not developed diabetes. There are cases where obese diabetic patients after gastric bypass improve or remits the T2DM, but it relapses due to insufficient weight loss or gain it. Globally there are no reports of patients with normal BMI that after performing gastric bypass developed diabetes mellitus. He currently is not obese and developed diabetes 31 years after surgery.
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He has a history of peptic ulcer treated with subtotal gastrectomy and Billroth II reconstruction 49 years ago. Male patient 69-year-old came to us in order to perform tailored One Anastomosis Gastric Bypass (BAGUA) to treat his type 2 diabetes mellitus and metabolic syndrome. Other questions refer to the type of surgery to make the bypass limb length or reservoir size for the resolution of the Diabetes Mellitus. Nevertheless, there are still doubts whether diabetes can recur if you gain weight or if the effects are maintained over time. Gastric bypass is an alternative treatment for diabetes. Garciacaballero, M Reyes-Ortiz, A Toval, J A MartÃnez-Moreno, J M Miralles, Fĭiabetes surgery in obese and slim patients seems to be a superior alternative to the current medical treatment. Development of type 2 diabetes mellitus thirty-one years after Billroth II in a patient asking for diabetes surgery.