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The cut-closed-reconnected Roux loop
E W Kummer1, J J Gerritsen, W H Brummelkamp
1Department of Surgery Medical Spectrum Twente, Enschede, The Netherlands.
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.
