Laparoscopic Dorfundoplication Plus Roux-En-Y Diversion for Intractable Duodenogastroesophageal Reflux after Billroth Reconstruction

Hu Z-W, Wang Z-G, Yan C, Tian S-R, Deng C-R and Wu J-M

Department of Gastroesophageal Reflux Disease, PLA Rocket Force General Hospital, China
Department of Vascular Surgery, Xuanwu Hospital of Capital Medical University, China

^*Correspondance to: Ji-Min Wu 

 PDF  Full Text DOI: 10.25107/2474-1647.1015

Abstract

Background: Distalgastrectomy with Billroth I or II reconstruction may cause duodenogastroesophageal reflux and result in severe digestive even respiratory symptoms or complications, which are often refractory to medical management, then laparoscopic Dorfundoplication plus Roux-en-Y diversion can be selected.Methods: Two patients with Billroth I and four patients with Billroth II had such correction for intractable postoperative duodenogastroesophageal reflux. Patient clinical and operative data were collected, then followed up for 1 year to 6 years.Results: There was no mortality and morbidity after the reoperation. 5 patients had excellent symptomatic improvement and 1 not well improved. 2 patients stopped medication and 4 patients reduced medication.Conclusions: Laparoscopic Dorfundoplication plus Roux-en-Y diversion can be an effective procedure to correct medically refractory duodenogastroesophageal reflux after Billroth I and II reconstruction, both digestive symptoms and associated respiratory symptom can be resolved after this procedure.

Keywords

Billrothreconstruction; Gastroesophageal reflux; Duodenogastroesophageal reflux; Fundoplication; Roux-en-Y diversion

Cite the article

Hu Z-W, Wang Z-G, Yan C, Tian S-R, Deng C-R, Wu J-M. Laparoscopic Dorfundoplication Plus Roux-En-Y Diversion for Intractable Duodenogastroesophageal Reflux after Billroth Reconstruction. Clin Surg. 2016; 1: 1015.