EFFECT OF TOTAL GASTRECTOMY AND ROUX-EN-Y RECONSTRUCTION FOR GASTRIC CANCER ON MOTILITY OF ROUX LIMB_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

Wan Jin ¹ , Wang Jifu. ²

Department of General Surgery, Guangdong Provicial People’s Hospital, Guangzhou 510080;

Corresponding author：

Keywords：

Total gastrectomy; Digestive tract reconstruction; Roux limb; Motility

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Motor function was investigated by constant perfusion manometry in the Roux limb of ten patients who had undergone total gastrectomy and Roux-en-Y anastomosis. Results showed that in the fasting state, the migrating motor complex (MMC) was comletely absent, retrograde in direction or bursts of nonphasic pressure activity. Reduced motor activity patterns occurred after the meal in some patients. Four patients failed to convert fasting state into the feeding state. Total gastrectomy with Roux-en-Y anastomoses provakes a relatively severe distubance in motor function, which could contribute to postoperative upper abdominal distress.

Citation： Wan Jin,Wang Jifu.. EFFECT OF TOTAL GASTRECTOMY AND ROUX-EN-Y RECONSTRUCTION FOR GASTRIC CANCER ON MOTILITY OF ROUX LIMB. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 1998, 5(3): 153-155. doi: Copy

1.	Malagalada JR, Camilleri M, Stanghellini V. Manoetric diagnosis of gastrointestinal motility disorders. New York:Thieme Incorporated, 1986.
2.	Kerlin P, Phillips S. Variability of motility of the ileum and jujunum in healthy humans. Gastroenterology, 1982; 82∶694.
3.	Mathias JR. Fernandez A, Sninsky CA, et al.Nausea, vomiting and abdominal pain after RouxenY anastomosis: motility of the jejunal limb. Gastroenterology, 1985; 88∶101.
4.	Bassotti G, Gulla P, Bettijc C, et al.Manometric evaluation of jejunal limb after total gastrectomy and RouxY anastomosis for gastric cancer. Br J Surg, 1990; 77∶1025.
5.	Perino LE, Adcock KA, Goff JS. Gastrointestinal symptoms, motility and transit after the RouxenY operation. Am J Gastroenterology, 1988; 83∶380.
6.	Gustavsson S, Ilstrup DM, Morrison P, et al.RouxY stasis syndrom after gastrectomy. Am J Surg, 1988; 155∶490.
7.	Karlstrom LH, Kelly KA. Ectopic jejunal pacemakes and gastric emptying after Roux gastrectomy: effect of intestinal pacing. Surgery, 1989; 106∶867.
8.	Vantrappen G, Coremans G, Janssen S, et al.Inversion of the slow wave frequency gradient in symptomatic patients with RouxenY anastomosis. Gastroenterology, 1988; 94∶A477.

1. Malagalada JR, Camilleri M, Stanghellini V. Manoetric diagnosis of gastrointestinal motility disorders. New York:Thieme Incorporated, 1986.
2. Kerlin P, Phillips S. Variability of motility of the ileum and jujunum in healthy humans. Gastroenterology, 1982; 82∶694.
3. Mathias JR. Fernandez A, Sninsky CA, et al.Nausea, vomiting and abdominal pain after RouxenY anastomosis: motility of the jejunal limb. Gastroenterology, 1985; 88∶101.
4. Bassotti G, Gulla P, Bettijc C, et al.Manometric evaluation of jejunal limb after total gastrectomy and RouxY anastomosis for gastric cancer. Br J Surg, 1990; 77∶1025.
5. Perino LE, Adcock KA, Goff JS. Gastrointestinal symptoms, motility and transit after the RouxenY operation. Am J Gastroenterology, 1988; 83∶380.
6. Gustavsson S, Ilstrup DM, Morrison P, et al.RouxY stasis syndrom after gastrectomy. Am J Surg, 1988; 155∶490.
7. Karlstrom LH, Kelly KA. Ectopic jejunal pacemakes and gastric emptying after Roux gastrectomy: effect of intestinal pacing. Surgery, 1989; 106∶867.
8. Vantrappen G, Coremans G, Janssen S, et al.Inversion of the slow wave frequency gradient in symptomatic patients with RouxenY anastomosis. Gastroenterology, 1988; 94∶A477.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

EFFECT OF TOTAL GASTRECTOMY AND ROUX-EN-Y RECONSTRUCTION FOR GASTRIC CANCER ON MOTILITY OF ROUX LIMB

Abstract Full text Figures/Tables Video References Cited by

Format

Content