کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
9401324 1288260 2005 7 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Identification and Management of an Errant Antiperistaltic Roux Limb After Total Gastrectomy
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی عمل جراحی
پیش نمایش صفحه اول مقاله
Identification and Management of an Errant Antiperistaltic Roux Limb After Total Gastrectomy
چکیده انگلیسی
We recently evaluated two patients because of persistent, unexplained bilious vomiting following total gastrectomy with Roux-en-Y esophagojejunostomy. With the aid of intestinal manometry and reoperation, an antiperistaltic Roux limb was discovered in both cases. Isoperistaltic repositioning of the Roux limb led to resolution of both patients' symptoms. These case reports illustrate the devastating consequences of a poorly constructed Roux-en-Y esophagojejunostomy and demonstrate the utility of intestinal manometry in aiding the diagnosis of problems related to the Roux limb, particularly when surgical reexploration is not preferred or is inconclusive. By highlighting this avoidable technical error, we hope to prevent its future occurrence.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Gastrointestinal Surgery - Volume 9, Issue 5, May–June 2005, Pages 726-732
نویسندگان
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