Comparison of Billroth-II Modified and Roux-en-Y Reconstruction After Distal Gastrectomy for Gastric Cancer: A Randomized Controlled Study

What this Trial Is About

This research aims to compare two reconstruction methods, Billroth-II modified and Roux-en-Y, used after distal gastrectomy surgery for patients with gastric cancer. The study investigates which method better reduces reflux esophagitis one year after surgery, as the best reconstruction technique remains uncertain. Different methods may affect complications, nutritional status, and quality of life after surgery. Participants will undergo distal gastrectomy followed by either the Billroth-II modified reconstruction, which includes 3-5 sutures connecting the afferent loop to the stomach remnant to reduce bile reflux, or the Roux-en-Y reconstruction. These methods are compared in an open-label randomized controlled trial to evaluate their effectiveness in preventing reflux and improving outcomes. During the study, patients will be monitored for reflux esophagitis at 12 months after surgery. Researchers will assess complications, nutritional status, and quality of life changes related to the reconstruction methods. Participants must agree to the study and provide written consent, with involvement lasting through surgery and follow-up evaluations to measure the primary outcome.

Billroth-II Modified Versus Roux-en-Y After Distal Gastrectomy for Gastric Cancer