The RNY is not so hot either...

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The Roux Stasis Syndrome

This study determined which factors lead to upper gastrointestinal stasis

after Roux-Y reconstruction.

The syndrome was found in 49 patients with gastrojejunostomy (30 percent of

those at risk).

Am J Surg 1988 Mar;155(3):490-4 Related Articles, Books, LinkOut

Roux-Y stasis syndrome after gastrectomy.

Gustavsson S, Ilstrup DM, on P, KA

Department of Surgery, Mayo Clinic, Rochester, Minnesota 55905.

Long Term Failure of the RNY

This consecutive series of Roux-en-Y gastrojejunostomies performed by one

surgeon has the longest follow-up to date.

Clinical failure was documented in 36% of patients.

The Roux stasis syndrome developing in 6 of them (27%).

The Roux-en-Y gastrojejunostomy has a substantial rate of clinical

dissatisfaction.

Surgeons should be cautious in using it to treat primary or remedial

gastrointestinal disease.

Ann Surg 1994 May;219(5):451-5; discussion 455-7 Related Articles, Books

Long-term follow-up of patients with Roux-en-Y gastrojejunostomy for gastric

disease.

McAlhany JC Jr, Hanover TM, SM, Sticca RP, Ashmore JD Jr

Department of Surgical Education, Greenville Hospital System, South

Carolina.

Alkaline reflux gastritis?

Alkaline reflux gastritis is supposedly caused by excessive reflux of upper

gastrointestinal content into the residual stomach after operations for

peptic ulcer.

In this article, the existence of such a syndrome is critically examined and

found to be wanting in several respects.

Gastroenterol Clin North Am 1994 Jun;23(2):281-94

Alkaline reflux gastritis.

Ritchie WP Jr

Department of Surgery, Temple University Hospital, Philadelphia,

Pennsylvania.

More RNY Motility Problems

Human gastric and jejunal transit and motility after Roux gastrojejunostomy.

Gastroenterology 1992 Oct;103(4):1133-43 Related Articles, Books, LinkOut

Miedema BW, KA, Camilleri M, Hanson RB, Zinsmeister AR, O'Connor MK,

Brown ML

Department of Surgery, Mayo Clinic, Rochester, Minnesota.

Roux-en-Y jejunal loop and bile reflux.

" CONCLUSIONS: Bile refluxes over the whole length of 4 Roux-en-Y loops out

of 10. "

Am J Surg 2000 Apr;179(4):298-303

Collard JM, Romagnoli R

Department of Surgery, Louvain Medical School, Brussels, Belgium.

Ulcer After Roux-en-Y

Hello,

I had Roux-en-Y in June 1998.

I did ok right after surgery until about six weeks after then I started

having bad pains in my stomach. I knew I wasn't over eating or anything. I

was losing weight. But I let the pain go on thinking it was normal...I

continued with the pain until June of 1999 when I finally was in soooooo

much pain I could no longer stand it.

Went to my doctor who sent me to another doctor who ran some test and found

a deep ulcer in my stomach.

It was positive for bacteria and I was treated with two antibiotics which

did clear up the bacteria but not the ulcer.

I was treated with more meds and it still is not gone...

Well during this past week I have had more problems and after more tests we

have found out the ulcer had eaten through the staple line enough to allow

food into the other part of my stomach.

Now I am going back into surgery for stomach reconstruction surgery and they

will be also removing the ulcer.

RR

Rutledge, M.D., F.A.C.S.

The Center for Laparoscopic Obesity Surgery

4301 Ben lin Blvd.

Durham, N.C. 27704

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Email: DrR@...