Background: Delayed gastric emptying without mechanical obstruction after Roux-en-Y reconstruction has been defined as Roux stasis syndrome. It occurs in 10-30% of patients after such reconstruction. So far, the cause of this stasis has not been completely identified. This study aimed to reduce Roux stasis using surgical techniques.
Methods: From November 2007 to October 2010, we performed 101 distal gastrectomies with Roux-en-Y reconstruction. All the gastrojejunostomies were performed with end-to-end anastomoses. Roux stasis was analyzed with respect to tumor location, extent of the dissection, tumor progression, operation time, antecolic/retrocolic reconstruction, and the shape of the gastrojejunostomy. The shape of the gastrojejunostomy was evaluated by contrast gastroradiography 4 days after the operation.
Results: Roux stasis syndrome was observed in 17 of the 101 patients. There was no relationship between the extent of the dissection, tumor progression, or operation time and the occurrence of Roux stasis. There was no difference in the incidence of Roux stasis between antecolic and retrocolic reconstructions. However, the group that displayed a straight anastomotic shape on contrast radiography demonstrated an apparently lower incidence of Roux stasis (p = 0.0003). In addition, Roux-en-Y reconstruction following gastric cancer was more frequently followed by Roux stasis in the antrum than in the midstomach (p = 0.0036). Cases of Roux stasis occurred 11.8 days after surgery on average and resolved within 2 weeks on average.
Conclusions: Our findings demonstrate the substantial benefits of a straight anastomosis of the gastrojejunostomy for the prevention of Roux stasis syndrome.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1007/s10120-011-0107-4 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Development of venous thromboembolic event risk calculator for metabolic and bariatric surgery patients to reduce mortality.
Surg Obes Relat Dis
October 2024
Geisinger Health, Danville, Pennsylvania.
Background: Venous Thromboembolic events (VTE) after Metabolic and Bariatric Surgery (MBS) result in significant morbidity and are the leading cause of mortality.
Objective: The objective of this study was to identify patients who are at a high risk for developing VTE and who may benefit from extended chemoprophylaxis following MBS.
Setting: Multi-institutional study.
Application of λ esophagojejunostomy in total gastrectomy under laparoscopy: a modified technique for post-gastrectomy reconstruction.
Front Oncol
August 2024
Department of General Surgery, Beijing Friendship Hospital, Capital Medical University, Beijing, China.
Article Synopsis
- The study aimed to evaluate the safety, feasibility, and short-term effectiveness of λ-type esophagojejunostomy during total gastrectomy using total laparoscopy, focusing on its impact on postoperative quality of life.
- Researchers analyzed data from 50 patients with adenocarcinoma who underwent this procedure, measuring various outcomes such as operation time, recovery times, and complications.
- Results indicated that the procedure had manageable complications and a stable Nutritional Risk Index over 12 months, suggesting it could be a viable option for patients undergoing total gastrectomy.
Surgical Treatment of Lithiasis of the Main Pancreatic Duct: A Challenging Case and a Literature Review.
Diseases
April 2024
2nd Surgery Clinic, Timișoara Emergency County Hospital, 300723 Timisoara, Romania.
Article Synopsis
- Pancreaticolithiasis is a rare condition often associated with chronic pancreatitis, typically resulting from prolonged inflammation and calcium buildup in the pancreatic ducts.
- A case study detailed a patient with pancreaticolithiasis due to alcoholic chronic pancreatitis, who underwent surgery with a specific technique to remove the stones and preserve splenic vessels.
- The study found that treatment for pancreaticolithiasis varies based on stone size, recommending surgical intervention for stones larger than 0.5 cm and endoscopic methods for smaller stones.
Predicting short-term thromboembolic risk following Roux-en-Y gastric bypass using supervised machine learning.
World J Gastrointest Surg
April 2024
Department of Gastroenterology and Hepatology, The University of Toledo, Toledo, OH 43606, United States.
Background: Roux-en-Y gastric bypass (RYGB) is a widely recognized bariatric procedure that is particularly beneficial for patients with class III obesity. It aids in significant weight loss and improves obesity-related medical conditions. Despite its effectiveness, postoperative care still has challenges.
View Article and Find Full Text PDFTransduodenal Sphincteroplasty: A Visual Case Study.
J Gastrointest Surg
November 2023
Department of Surgery, Indiana University School of Medicine, 545 Barnhill Drive, Emerson Hall 519, Indianapolis, IN, 46202, USA.
Background: Sphincter of Oddi dysfunction is a challenging and rare clinical entity resulting in pancreatobiliary pain and stasis of bile and pancreatic juice. This problem was classically treated with surgical therapy, but as classification of the disease has changed and newer methods of endoscopic evaluation and therapy have evolved, operative transduodenal sphincteroplasty is now generally reserved as a final therapeutic option for these patients. In this video and manuscript, we describe our approach to operative transduodenal sphincteroplasty in a patient with type I Sphincter of Oddi dysfunction.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!