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Gastrointestinal symptoms, motility, and transit after the Roux-en-Y operation.
Am J Gastroenterol. 1988 Apr; 83(4):380-5.AJ

Abstract

Roux-en-Y patients have symptoms that vary from almost none to inability to tolerate oral feedings. This study was designed to determine whether there is a relationship between a patient's symptoms and the function of the gastric remnant or the Roux-limb. Gastric remnant and Roux-limb emptying were studied in eight patients with technetium-99m-labeled oatmeal and Roux-limb motor activity was measured with a water-perfused manometry system. We found that gastric emptying was rarely significantly slowed, but emptying of the Roux-limb was delayed in several patients. We also found that there was a rough correlation between the patient's symptoms and the degree of abnormal motility found in the Roux-limb. There is no known reason for these abnormalities in Roux-limb function in some patients after a Roux-en-Y, but our finding of worse abnormalities in those who had multiple previous gastric surgeries suggests that the symptoms and dysfunction may be related to the number of surgeries, as well as to the type of surgery.

Authors+Show Affiliations

Division of Gastroenterology, University of Colorado Health Sciences Center, Denver.No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

3348192

Citation

Perino, L E., et al. "Gastrointestinal Symptoms, Motility, and Transit After the Roux-en-Y Operation." The American Journal of Gastroenterology, vol. 83, no. 4, 1988, pp. 380-5.
Perino LE, Adcock KA, Goff JS. Gastrointestinal symptoms, motility, and transit after the Roux-en-Y operation. Am J Gastroenterol. 1988;83(4):380-5.
Perino, L. E., Adcock, K. A., & Goff, J. S. (1988). Gastrointestinal symptoms, motility, and transit after the Roux-en-Y operation. The American Journal of Gastroenterology, 83(4), 380-5.
Perino LE, Adcock KA, Goff JS. Gastrointestinal Symptoms, Motility, and Transit After the Roux-en-Y Operation. Am J Gastroenterol. 1988;83(4):380-5. PubMed PMID: 3348192.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Gastrointestinal symptoms, motility, and transit after the Roux-en-Y operation. AU - Perino,L E, AU - Adcock,K A, AU - Goff,J S, PY - 1988/4/1/pubmed PY - 1988/4/1/medline PY - 1988/4/1/entrez SP - 380 EP - 5 JF - The American journal of gastroenterology JO - Am J Gastroenterol VL - 83 IS - 4 N2 - Roux-en-Y patients have symptoms that vary from almost none to inability to tolerate oral feedings. This study was designed to determine whether there is a relationship between a patient's symptoms and the function of the gastric remnant or the Roux-limb. Gastric remnant and Roux-limb emptying were studied in eight patients with technetium-99m-labeled oatmeal and Roux-limb motor activity was measured with a water-perfused manometry system. We found that gastric emptying was rarely significantly slowed, but emptying of the Roux-limb was delayed in several patients. We also found that there was a rough correlation between the patient's symptoms and the degree of abnormal motility found in the Roux-limb. There is no known reason for these abnormalities in Roux-limb function in some patients after a Roux-en-Y, but our finding of worse abnormalities in those who had multiple previous gastric surgeries suggests that the symptoms and dysfunction may be related to the number of surgeries, as well as to the type of surgery. SN - 0002-9270 UR - https://www.unboundmedicine.com/medline/citation/3348192/Gastrointestinal_symptoms_motility_and_transit_after_the_Roux_en_Y_operation_ L2 - https://medlineplus.gov/aftersurgery.html DB - PRIME DP - Unbound Medicine ER -