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Roux-en-Y syndrome after surgical treatment of alkaline reflux gastritis.
Rev Esp Enferm Dig. 1999 Nov; 91(11):748-58.RE

Abstract

OBJECTIVE

to evaluate the possible existence of the so-called <<Roux-en-Y syndrome>> in a group of 21 patients who underwent surgery to correct postoperative alkaline reflux gastritis.

METHODS

the study group consisted of 15 men and 6 women (mean age 39.2 years). All had undergone Billroth II subtotal gastrectomy (20 for ulcer and 1 for gastric cancer). Alkaline diversion was done with the Roux-en-Y technique 50-60 cm away from the gastrojejunal anastomosis. In all patients bilateral truncal vagotomy at the hiatus was also done. No mechanical alterations in the gastrojejunal anastomosis were found during surgery. Mean follow-up period was 8.2 years (range 6.5-10.7 years), during which clinical, radiological and endoscopic studies were obtained. Gammagraphic study of gastric remnant emptying was done on postoperative day 30.

RESULTS

none of the patients had clinical, radiological or endoscopic manifestations that indicated the presence of Roux-en-Y syndrome. Gammagraphic studies of gastric remnant emptying did not demonstrate significant differences between preoperative (T1/2: 7.3 min) and postoperative values (T1/2: 10.1 min).

CONCLUSIONS

we found no evidence of disturbances in gastric remnant emptying after Roux-en-Y gastrojejunostomy to treat postoperative alkaline gastric reflux.

Authors+Show Affiliations

Servicio de Cirugía General, Hospital Clínico "San Carlos", Madrid, España.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng spa

PubMed ID

10601768

Citation

Martínez-Ramos, C, et al. "Roux-en-Y Syndrome After Surgical Treatment of Alkaline Reflux Gastritis." Revista Espanola De Enfermedades Digestivas : Organo Oficial De La Sociedad Espanola De Patologia Digestiva, vol. 91, no. 11, 1999, pp. 748-58.
Martínez-Ramos C, Núñez Peña J, Sanz López R, et al. Roux-en-Y syndrome after surgical treatment of alkaline reflux gastritis. Rev Esp Enferm Dig. 1999;91(11):748-58.
Martínez-Ramos, C., Núñez Peña, J., Sanz López, R., & Tamames Escobar, S. (1999). Roux-en-Y syndrome after surgical treatment of alkaline reflux gastritis. Revista Espanola De Enfermedades Digestivas : Organo Oficial De La Sociedad Espanola De Patologia Digestiva, 91(11), 748-58.
Martínez-Ramos C, et al. Roux-en-Y Syndrome After Surgical Treatment of Alkaline Reflux Gastritis. Rev Esp Enferm Dig. 1999;91(11):748-58. PubMed PMID: 10601768.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Roux-en-Y syndrome after surgical treatment of alkaline reflux gastritis. AU - Martínez-Ramos,C, AU - Núñez Peña,J, AU - Sanz López,R, AU - Tamames Escobar,S, PY - 1999/12/22/pubmed PY - 1999/12/22/medline PY - 1999/12/22/entrez SP - 748 EP - 58 JF - Revista espanola de enfermedades digestivas : organo oficial de la Sociedad Espanola de Patologia Digestiva JO - Rev Esp Enferm Dig VL - 91 IS - 11 N2 - OBJECTIVE: to evaluate the possible existence of the so-called <<Roux-en-Y syndrome>> in a group of 21 patients who underwent surgery to correct postoperative alkaline reflux gastritis. METHODS: the study group consisted of 15 men and 6 women (mean age 39.2 years). All had undergone Billroth II subtotal gastrectomy (20 for ulcer and 1 for gastric cancer). Alkaline diversion was done with the Roux-en-Y technique 50-60 cm away from the gastrojejunal anastomosis. In all patients bilateral truncal vagotomy at the hiatus was also done. No mechanical alterations in the gastrojejunal anastomosis were found during surgery. Mean follow-up period was 8.2 years (range 6.5-10.7 years), during which clinical, radiological and endoscopic studies were obtained. Gammagraphic study of gastric remnant emptying was done on postoperative day 30. RESULTS: none of the patients had clinical, radiological or endoscopic manifestations that indicated the presence of Roux-en-Y syndrome. Gammagraphic studies of gastric remnant emptying did not demonstrate significant differences between preoperative (T1/2: 7.3 min) and postoperative values (T1/2: 10.1 min). CONCLUSIONS: we found no evidence of disturbances in gastric remnant emptying after Roux-en-Y gastrojejunostomy to treat postoperative alkaline gastric reflux. SN - 1130-0108 UR - https://www.unboundmedicine.com/medline/citation/10601768/Roux_en_Y_syndrome_after_surgical_treatment_of_alkaline_reflux_gastritis_ DB - PRIME DP - Unbound Medicine ER -