{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,1,11]],"date-time":"2024-01-11T00:22:27Z","timestamp":1704932547534},"reference-count":29,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2015,1,22]],"date-time":"2015-01-22T00:00:00Z","timestamp":1421884800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2015,1,22]],"date-time":"2015-01-22T00:00:00Z","timestamp":1421884800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2015,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Billroth\u2010I (BI) is a simple, physiological method of reconstruction following distal gastrectomy. In actuality, postoperative QOL is by no means favorable due to the high incidence of post\u2010gastrectomy syndrome. The aim of this study is to assess the safety and efficacy of boomerang\u2010shaped jejunal interposition (BJI) after distal gastrectomy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Sixty\u2010six patients with early gastric cancer underwent the BI procedure (<jats:italic>n<\/jats:italic> = 33) or BJI (<jats:italic>n<\/jats:italic> = 33) after distal gastrectomy, following which they were compared for 5 years. Tumor characteristics, operative details, postoperative complications and complaints, number of meals, and body weight were analyzed. Patients were followed up by endoscopy every 12\u00a0months.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were no significant differences in the incidence of postoperative complications. The incidence of heartburn (30 vs. 0 %, <jats:italic>P<\/jats:italic> = 0.0009) and oral bitterness (33 vs. 6 %, <jats:italic>P<\/jats:italic> = 0.0112) were significantly lower in the BJI cases. Endoscopic findings revealed significantly lower incidences of reflux esophagitis (24 vs. 0 %, <jats:italic>P<\/jats:italic> = 0.0051) and remnant gastritis (70 vs. 3 %, <jats:italic>P<\/jats:italic> &lt; 0.0001) in the BJI group. The incidence of food stasis was low in both groups (12 vs. 15 %). In the BJI group, 30 patients (90 %) were eating 3\u00a0meals\/day within 12\u00a0months, whereas in the BI group, 16 patients (48 %) were still eating 5\u00a0meals\/day at 12\u00a0months or later.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>BJI is as safe as BI, but is better in terms of improvement in bile reflux and food intake without stasis. This procedure, therefore, appears to be a useful method for reconstruction after distal gastrectomy.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-015-2941-8","type":"journal-article","created":{"date-parts":[[2015,1,23]],"date-time":"2015-01-23T19:08:11Z","timestamp":1422040091000},"page":"1127-1133","update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Long\u2010Term Comparison of Boomerang\u2010Shaped Jejunal Interposition and Billroth\u2010I Reconstruction After Distal Gastrectomy"],"prefix":"10.1002","volume":"39","author":[{"given":"Kinro","family":"Sasaki","sequence":"first","affiliation":[{"name":"Department of Surgery 1 Dokkyo Medical University Kitakobayashi 880 321\u20100293 Mibu Tochigi Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazuhito","family":"Miyachi","sequence":"additional","affiliation":[{"name":"Department of Surgery 1 Dokkyo Medical University Kitakobayashi 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