지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2020.1
- 수록면
- 337 - 343 (7page)
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초록· 키워드
오류제보하기
Distal gastrectomy with Billroth I or II reconstruction may cause duodenogastroesophageal reflux (DGER), thereby resulting in digestive or respiratory symptoms. The mainstay of treatment is medication with proton pump inhibitors. However, these drugs may have limited effects in DGER. Laparoscopic fundoplication has been proven to be highly effective in treating gastroesophageal reflux disease (GERD), but it cannot be performed optimally for GERD that develops after gastrectomy. We report the case of a 72-year-old man with a history of distal gastrectomy and Billroth I anastomosis due to early gastric cancer. GERD due to bile reflux occurred after surgery and was refractory to medical therapy. The patient underwent Roux-en-Y conversion from Billroth I gastroduodenostomy and hiatal hernia repair with only cruroplasty. Fundoplication was not performed. His symptoms improved significantly after the surgery. Therefore, laparoscopic hiatal hernia repair and Roux-en-Y conversion can be an effective surgical procedure to treat medically refractory DGER after Billroth I gastrectomy.
목차
등록된 정보가 없습니다.
참고문헌 (13)
참고문헌 신청
Guideline Committee of the Korean Gastric Cancer Association / 2019 / Korean Practice Guideline for Gastric Cancer 2018; Evidence-based, Multi-disciplinary Approach / Journal of Gastric Cancer 19(1):1~48
Yang K / 2017 / Comparison of quality of life between Billroth-І and Roux-en-Y anastomosis after distal gastrectomy for gastric cancer : a randomized controlled trial / Sci Rep 7:11245
Ma Y / 2019 / Four reconstruction methods after laparoscopic distal gastrectomy : a systematic review and network meta-analysis / Medicine(Baltimore) 98:e18381
엄방울 / 2016 / Korean Gastric Cancer Association Nationwide Survey on Gastric Cancer in 2014 / Journal of Gastric Cancer 16(3):131~140
Gasiorowska A / 2009 / Comparison of the degree of duodenogastroesophageal reflux and acid reflux between patients who failed to respond and those who were successfully treated with a proton pump inhibitor once daily / Am J Gastroenterol 104:2005~2013
Yang K / 2017 / Comparison of quality of life between Billroth-І and Roux-en-Y anastomosis after distal gastrectomy for gastric cancer : a randomized controlled trial / Sci Rep 7:11245
Ma Y / 2019 / Four reconstruction methods after laparoscopic distal gastrectomy : a systematic review and network meta-analysis / Medicine(Baltimore) 98:e18381
엄방울 / 2016 / Korean Gastric Cancer Association Nationwide Survey on Gastric Cancer in 2014 / Journal of Gastric Cancer 16(3):131~140
Gasiorowska A / 2009 / Comparison of the degree of duodenogastroesophageal reflux and acid reflux between patients who failed to respond and those who were successfully treated with a proton pump inhibitor once daily / Am J Gastroenterol 104:2005~2013
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