Document Detail

The cut-closed-reconnected Roux loop.
MedLine Citation:
PMID:  10773150     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Motility disturbances in the Roux loop can negatively influence the outcome of reflux gastritis; the uncut Roux loop does not have these disadvantages, but is less suitable for clinical application because of staple dehiscence. The reported "cut-closed-reconnected" Roux loop has the same physiological starting points as the uncut Roux loop, but a difference is an extra closure at the site of the seromuscular level. METHOD: The technique of the cut-closed-reconnected Roux loop is described. RESULTS: After 1 year, the clinical findings in 8 patients were as follows: 1 patient free of symptoms, 4 with gastric pain, 2 patients vomited (1 bilious), and 1 felt fullness. CONCLUSION: Dehiscence of the closure could not be demonstrated by endoscopy, barium contrast roentgenography, and HIDA scan.
E W Kummer; J J Gerritsen; W H Brummelkamp
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of surgery     Volume:  179     ISSN:  0002-9610     ISO Abbreviation:  Am. J. Surg.     Publication Date:  2000 Feb 
Date Detail:
Created Date:  2000-08-30     Completed Date:  2000-08-30     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370473     Medline TA:  Am J Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  141-4     Citation Subset:  AIM; IM    
Department of Surgery Medical Spectrum Twente, Enschede, The Netherlands.
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MeSH Terms
Anastomosis, Roux-en-Y / adverse effects,  methods*
Duodenogastric Reflux / surgery
Esophagitis, Peptic / surgery
Follow-Up Studies
Gastric Emptying / physiology
Gastritis / surgery
Gastrointestinal Motility / physiology
Jejunum / surgery*
Middle Aged
Pain, Postoperative / etiology
Pancreatic Juice
Postoperative Nausea and Vomiting / etiology
Stomach / surgery*
Surgical Wound Dehiscence / etiology
Sutures / adverse effects
Comment In:
Am J Surg. 2001 Apr;181(4):387   [PMID:  11441886 ]
Am J Surg. 2001 Apr;181(4):386-7   [PMID:  11441885 ]

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