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Effect of Roux-en-Y gastroenterostomy on gastric emptying of a solid meal following antrectomy and vagotomy.
Ann Chir Gynaecol. 1986; 75(4):201-4.AC

Abstract

Gastric emptying of a 51Cr labelled solid meal was studied before and at least 6 months after operation for pyloric-prepyloric ulcer disease. All patients underwent an antrectomy, selective gastric vagotomy but 10 were randomized to a gastroduodenostomy and 12 to a Roux-en-Y gastrojejunostomy. There was no significant difference in the emptying rate between patients studied preoperatively (T 75 = 48 +/- 21.8 min) and those investigated after a Billroth I gastroduodenostomy (T 75 = 45 +/- 15.8 min). However, the emptying rate was significantly retarded in the Roux-en-Y patients as compared to those studied preoperatively (T 75 + T 50 + T 25). In the former group, an initial retardation of emptying of the meal was most apparent (T 75 = 89 +/- 81.7 min). Due to a high standard deviation, the difference between the Roux-en-Y and gastroduodenostomy groups did not reach statistical significance. Our results would indicate that retarded gastric emptying is not a regular phenomenon after a Roux-en-Y gastrojejunostomy provided that a selective gastric vagotomy had been performed and the investigation been carried out at least 6 months after the operation.

Authors

No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Clinical Trial
Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

3777828

Citation

Lundell, L, et al. "Effect of Roux-en-Y Gastroenterostomy On Gastric Emptying of a Solid Meal Following Antrectomy and Vagotomy." Annales Chirurgiae Et Gynaecologiae, vol. 75, no. 4, 1986, pp. 201-4.
Lundell L, Alpsten M, Andersson D. Effect of Roux-en-Y gastroenterostomy on gastric emptying of a solid meal following antrectomy and vagotomy. Ann Chir Gynaecol. 1986;75(4):201-4.
Lundell, L., Alpsten, M., & Andersson, D. (1986). Effect of Roux-en-Y gastroenterostomy on gastric emptying of a solid meal following antrectomy and vagotomy. Annales Chirurgiae Et Gynaecologiae, 75(4), 201-4.
Lundell L, Alpsten M, Andersson D. Effect of Roux-en-Y Gastroenterostomy On Gastric Emptying of a Solid Meal Following Antrectomy and Vagotomy. Ann Chir Gynaecol. 1986;75(4):201-4. PubMed PMID: 3777828.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Effect of Roux-en-Y gastroenterostomy on gastric emptying of a solid meal following antrectomy and vagotomy. AU - Lundell,L, AU - Alpsten,M, AU - Andersson,D, PY - 1986/1/1/pubmed PY - 1986/1/1/medline PY - 1986/1/1/entrez SP - 201 EP - 4 JF - Annales chirurgiae et gynaecologiae JO - Ann Chir Gynaecol VL - 75 IS - 4 N2 - Gastric emptying of a 51Cr labelled solid meal was studied before and at least 6 months after operation for pyloric-prepyloric ulcer disease. All patients underwent an antrectomy, selective gastric vagotomy but 10 were randomized to a gastroduodenostomy and 12 to a Roux-en-Y gastrojejunostomy. There was no significant difference in the emptying rate between patients studied preoperatively (T 75 = 48 +/- 21.8 min) and those investigated after a Billroth I gastroduodenostomy (T 75 = 45 +/- 15.8 min). However, the emptying rate was significantly retarded in the Roux-en-Y patients as compared to those studied preoperatively (T 75 + T 50 + T 25). In the former group, an initial retardation of emptying of the meal was most apparent (T 75 = 89 +/- 81.7 min). Due to a high standard deviation, the difference between the Roux-en-Y and gastroduodenostomy groups did not reach statistical significance. Our results would indicate that retarded gastric emptying is not a regular phenomenon after a Roux-en-Y gastrojejunostomy provided that a selective gastric vagotomy had been performed and the investigation been carried out at least 6 months after the operation. SN - 0355-9521 UR - https://www.unboundmedicine.com/medline/citation/3777828/Effect_of_Roux_en_Y_gastroenterostomy_on_gastric_emptying_of_a_solid_meal_following_antrectomy_and_vagotomy_ L2 - https://antibodies.cancer.gov/detail/CPTC-NT5E+-1 DB - PRIME DP - Unbound Medicine ER -