In vitro motility changes in Roux limb after Roux-en-Y reconstructio

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Motility Disorders after Roux-en-Y Gastrojejunostomy.

About 30% of patients who have a Roux-en-Y gastrojejunostomy after gastrectomy suffer from abdominal pain, nausea, vomiting of food and bloating made worse by eating. This syndrome, called the Roux stasis syndrome, is caused, in part, by a motility disorder of the Roux limb. Transection of the jejunum during the construction of the limb separates the limb from the natural small intestinal pacem...

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Afferent Loop Syndrome after Roux-en-Y Total Gastrectomy Caused by Volvulus of the Roux-Limb

Afferent loop syndrome is a rare complication of gastric surgery. An obstruction of the afferent limb can present in various ways. A 73-year-old man presented with one day of persistent abdominal pain, gradually radiating to the back. He had a history of total gastrectomy with a Roux-en-Y reconstruction. Abdominal computed tomography scan revealed dilation of the duodenum and small intestine in...

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Energy expenditure changes after Roux-en-Y Gastric Bypass

Background Weight loss usually decreases energy expenditure (EE) because of changes in body composition (BC). The reduction in EE may contribute, in part, to long-term weight regain. Patients undergoing bariatric surgery might experience a decrease in EE, mainly due to reduced resting metabolic rate (RMR), explained by a decreased lean body mass (LBM), similarly to what occurs to patients after...

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Roux-en-Y reconstruction after pancreaticoduodenectomy.

HYPOTHESIS Roux-en-Y reconstruction (RYR) is associated with a reduction in morbidity and mortality associated with pancreatic anastomotic failure after pancreaticoduodenectomy compared with conventional loop reconstruction (CLR). DESIGN Retrospective study of patients from 1991 to 2006. SETTING Tertiary care center. PATIENTS Records of patients undergoing CLR (n = 588) and patients under...

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Hepaticojejunostomy using short-limb Roux-en-Y reconstruction.

IMPORTANCE When performing biliary reconstruction, one of the long-standing tenets of surgery is that Roux-en-Y (RY) reconstruction should use a long hepatic limb to decrease the risk for postoperative cholangitis. However, this practice is not well supported and may also make postoperative biliary endoscopy difficult. While some authors recommend Roux limbs of up to 75 cm, we have routinely us...

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ژورنال

عنوان ژورنال: Bratislava Medical Journal

سال: 2014

ISSN: 1336-0345

DOI: 10.4149/bll_2014_067