| Identification and management of an errant antiperistaltic Roux limb after total gastrectomy. | |
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MedLine Citation:
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PMID: 15862271 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We recently evaluated two patients because of persistent, unexplained bilious vomiting following total gastrectomy with Roux-en-Y esophagojejunostomy. With the aid of intestinal manometry and reoperation, an antiperistaltic Roux limb was discovered in both cases. Isoperistaltic repositioning of the Roux limb led to resolution of both patients' symptoms. These case reports illustrate the devastating consequences of a poorly constructed Roux-en-Y esophagojejunostomy and demonstrate the utility of intestinal manometry in aiding the diagnosis of problems related to the Roux limb, particularly when surgical reexploration is not preferred or is inconclusive. By highlighting this avoidable technical error, we hope to prevent its future occurrence. |
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Authors:
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John K DiBaise; Kishore Iyer; Jon S Thompson |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract Volume: 9 ISSN: 1091-255X ISO Abbreviation: J. Gastrointest. Surg. Publication Date: 2005 May-Jun |
Date Detail:
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Created Date: 2005-05-02 Completed Date: 2005-11-07 Revised Date: 2006-10-20 |
Medline Journal Info:
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Nlm Unique ID: 9706084 Medline TA: J Gastrointest Surg Country: United States |
Other Details:
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Languages: eng Pagination: 726-32 Citation Subset: IM |
Affiliation:
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Intestinal Rehabilitation Program, Department of Internal Medicine, University of Nebraska Medical Center, Omaha, Nebraska, USA. dibaise.john@mayo.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Anastomosis, Roux-en-Y / adverse effects*, methods Biliary Fistula / etiology*, surgery* Female Follow-Up Studies Gastrectomy / adverse effects*, methods Humans Male Manometry Middle Aged Polyps / diagnosis, surgery Postoperative Complications / diagnosis, surgery Reoperation Risk Assessment Stomach Neoplasms / diagnosis, surgery Treatment Outcome |
| Comments/Corrections | |
Comment In:
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J Gastrointest Surg. 2006 Apr;10(4):622; author reply 623
[PMID:
16627232
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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