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The Roux operation for postgastrectomy syndromes.

B W Miedema1, K A Kelly

  • 1Department of Surgery, Digestive Disease Center, Mayo Clinic Rochester, Minnesota 55905.

American Journal of Surgery
|February 1, 1991
PubMed
Summary
This summary is machine-generated.

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The Roux operation effectively treats postgastrectomy syndromes like alkaline reflux gastritis and dumping by altering digestive tract anatomy. However, it can cause Roux stasis syndrome, a complication being addressed with new techniques.

Area of Science:

  • Gastroenterology
  • Surgical Procedures
  • Digestive System Disorders

Background:

  • Postgastrectomy syndromes, including alkaline reflux gastritis and dumping syndrome, significantly impact patient quality of life after gastric surgery.
  • The Roux-Y gastrojejunostomy is a common surgical reconstruction technique following gastrectomy.

Purpose of the Study:

  • To detail the technique, indications, and outcomes of the Roux operation for managing postgastrectomy syndromes.
  • To evaluate the efficacy of a 40-cm Roux limb in preventing bile and pancreatic reflux in alkaline reflux gastritis.
  • To assess the utility of the Roux limb in managing dumping syndrome and delayed gastric emptying.

Main Methods:

  • Description of the Roux gastrojejunostomy technique with a 40-cm Roux limb.

Related Experiment Videos

  • Application of Roux-Y gastrojejunostomy in conjunction with near-total gastric resection for delayed gastric emptying.
  • Analysis of clinical outcomes, including symptom resolution and complication rates.

    • Main Results:

    • A 40-cm Roux limb effectively minimizes bile and pancreatic reflux in alkaline reflux gastritis.
    • The Roux limb aids in managing dumping syndrome and delayed gastric emptying by controlling transit time.
    • A potential complication, Roux stasis syndrome, characterized by pain and nausea, can occur due to excessively slow emptying.

    Conclusions:

    • The Roux operation is a valuable tool for treating various postgastrectomy syndromes.
    • Preventive strategies like the 'uncut' Roux limb and therapeutic interventions such as electrical pacing are being explored for Roux stasis syndrome.