Motility deficits in Roux-loop gastrojejunal reconstruction after the surgical treatment of reflux diseases (the Roux stasis syndrome)
Mateş, I.N.; Constantinoiu, S.; Dinu, D.
Chirurgia 92(3): 187-198
1997
ISSN/ISBN: 1221-9118 PMID: 9289268 Document Number: 477734
Motor disorders due to Roux-en-Y gastrojejunostomy are not uncommon, although not yet fully explained. Facing Roux stasis syndrome in patients who underwent Roux-en-Y diversion for secondary reflux pathology, we decided to study the motoric outcome of all 28 cases operated on for benign conditions in 1981-1996. We were interested only in motility disturbance related to our surgical act, so other therapeutic results were neglected. Since we could not perform manometric research and scintigraphic clearance was performed only in selected cases, our study was mainly clinical and based on radiology. There was no late stasis symptomatology in 19 patients operated for non-reflux pathology, but one third of refluxers developed Roux stasis syndrome, occasionally revisional surgery was performed.