The cut-closed-reconnected Roux loop.

Abstract:

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.

journal_name

Am J Surg

authors

Kummer EW,Gerritsen JJ,Brummelkamp WH

doi

10.1016/s0002-9610(00)00246-4

subject

Has Abstract

pub_date

2000-02-01 00:00:00

pages

141-4

issue

2

eissn

0002-9610

issn

1879-1883

pii

S0002-9610(00)00246-4

journal_volume

179

pub_type

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