[Operations on the stomach with a Roux anastomosis]

In order to prevent complications such as reflux gastritis, reflux esophagitis, erosions, ulcers and tumors of the gastric stump the Roux anastomosis was used in 497 patients. Among them there were 194 patients after distal resection of the stomach, 239--after extirpation of the stomach, 45 after vagotomy, antrumectomy, 19 after reconstructive operations on the stomach. These patients had organic complications much more rarely: 3.7% had reflux esophagitis (after resection of the stomach on the short loop and with Brown anastomosis--in 50.5%), 12.5% (85.4%) had reflux gastritis, 3.66% (23.7%) had erosions and ulcers of the gastric stump, 2.1% (21.5%) had polyps and carcinomas of the gastric stump. Postoperative lethality was 3.09 and 7.12%.