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Distal gastrectomy and Roux-en-Y reconstruction for refractory reflux esophagitis after proximal gastrectomy and esophagogastric anastomosis reconstruction

  • Masaaki Yamamoto,
  • Atsushi Takeno,
  • Takuya Hamakawa,
  • Shinji Tokuyama,
  • Reishi Toshiyama,
  • Kenji Kawai,
  • Yusuke Takahashi,
  • Kenji Sakai,
  • Naoki Hama,
  • Kunihito Gotoh,
  • Takeshi Kato,
  • Motohiro Hirao

摘要

Refractory gastroesophageal reflux disease can develop after proximal gastrectomy and esophagogastrostomy. We introduce a new method that combines distal gastrectomy and Roux-en-Y reconstruction to treat refractory reflux esophagitis in patients who have undergone proximal gastrectomy and esophagogastric anastomosis reconstruction. This novel method may be useful not only for alleviating the symptoms of gastroesophageal reflux disease but also for preventing future esophageal malignancies arising from long-term reflux esophagitis.