BACKGROUND Retrograde Roux limb peristalsis following laparoscopic Roux-en-Y gastric bypass is a rare complication that can be difficult to identify. It may present as persistent nausea, vomiting, abdominal pain, or even gastrointestinal bleeding related to an anastomotic ulcer. Upper gastrointestinal (UGI) series is an important diagnostic modality to identify this motility disorder; however,...

A clinical study was undertaken to determine the incidence of the dumping syndrome following partial gastrectomy and Roux-en-y gastrojejunostomy. Twenty-three patients were scored according to a clinical diagnostic index. There were no dumpers identified. A theoretical explanation for these findings is offered. A Roux-en-y conversion should be considered for patients with disabling dumping symp...

The commonest complication of hepaticojejunostomy for the management of biliary strictures is recurrent cholangitis. We report a 54-year-old man who underwent choledochojejunostomy after choledochal cyst excision, and later developed ischemic stricture of the Roux-en-Y loop intestinal loop and recurrent cholangitis. The stricturous intestinal loop was excised with re-anastomosis with new Roux-e...

PURPOSE The aim of this study was to evaluate the quality of life and functional emptying of J-pouch versus Roux-en-Y reconstruction after total gastrectomy for malignancy. METHODS This study was designed as a prospective, nonblinded, randomized, parallel clinical trial (Trial Number: MN Ostrava, 200604). With informed consent, patients undergoing gastrectomy for malignancy were randomized to...

BACKGROUND Roux-en-Y reconstruction is sometimes associated with symptoms that suggest food stasis, as a result of dysmotility of either the gastric remnant and/or the efferent jejunal limb. OBJECTIVE To study the possible effect of intravenous erythromycin lactobionate on gastric emptying of solids in patients who have undergone a Roux-en-Y procedure. PATIENTS Twenty-four patients with a R...

Roux-en-Y gastric bypass (RYGB) has become the gold-standard bariatric procedure, partly because of the rapid resolution of accompanying diabetes. There is increasing evidence this is mediated by duodenal exclusion. We hypothesize that duodenal exclusion suppresses intestinal Na(+)/glucose cotransporter SGLT1-mediated glucose transport, improving glucose handling, and aimed to test this in a ro...

 Abstract Background: End-to-side esophagojejunostomy has almost always been associated with some degree of dysphagia. To overcome this complication we decided to perform an end-to-end anastomosis and compare it with end-to-side Roux-en-Y esophagojejunostomy. Methods: In this prospective study, between 1998 and 2005, 71 patients with a diagnosis of gastric adenocarcinoma underwent total gastrec...

OBJECTIVE To evaluate the short-term outcomes for laparoscopic Roux-en-Y gastric bypass in 275 patients with a follow-up of 1 to 31 months. SUMMARY BACKGROUND DATA The Roux-en-Y gastric bypass is a highly successful approach to morbid obesity but results in significant perioperative complications. A laparoscopic approach has significant potential to reduce perioperative complications and reco...

A clinical study was undertaken to determine the incidence of the dumping syndrome following partial gastrectomy and Roux-en-y gastrojejunostomy. Twenty-three patients were scored according to a clinical diagnostic index. There were no dumpers identified. A theoretical explanation for these findings is offered. A Roux-en-y conversion should be considered for patients with disabling dumping symp...

A clinical study was undertaken to determine the incidence of the dumping syndrome following partial gastrectomy and Roux-en-y gastrojejunostomy. Twenty-three patients were scored according to a clinical diagnostic index. There were no dumpers identified. A theoretical explanation for these findings is offered. A Roux-en-y conversion should be considered for patients with disabling dumping symp...