Question:
What is Roux Stasis Syndrome ???
Someone had asked what to do when you have a problem with Roux Syndrome ?? Well I am betting most of us have no idea what it is & would like more info so if anyone out there knows.. Come on with the info.. — Anne T. (posted on April 22, 2004)
April 21, 2004
Well, I found some interesting articles that I'll post here as answers....
maybe we'll all learn something!
Biliary diversion. A new method to prevent enterogastric reflux and reverse
the Roux stasis syndrome
J. A. Madura and J. L. Grosfeld
Department of Surgery, Indiana University School of Medicine, Indianapolis,
USA.
OBJECTIVE: To design an operation to prevent enterogastric reflux of bile
that will not interfere with gastric or proximal intestinal motility and
that will be applicable in patients with primary alkaline reflux gastritis,
various prior ulcer operations, and previous corrective operations for
enterogastric reflux. DESIGN: A nonrandomized, prospective review of 27
patients with enterogastric reflux operated on between 1991 and 1995.
SETTING: A midwestern medical school and 400-bed tertiary referral center,
adult hospital. PATIENTS: Twenty-seven patients with symptoms compatible
with enterogastric reflux, primary or secondary to ulcer operations, or
with Roux-en-Y limb stasis following attempts to correct alkaline reflux
gastritis. INTERVENTIONS: An operation designed to reestablish
gastroduodenal continuity by converting previous procedures such as
Billroth II gastrectomy and Roux-en-Y gastrojejunostomy to a Billroth I
gastroduodenostomy, and by diverting bile away from the stomach by
end-to-side choledochojejunostomy by means of a Roux-en-Y limb of 35 to 40
cm. MAIN OUTCOME MEASURES: Resolution of the preoperative symptoms of pain,
nausea, and bilious vomiting in patients with enterogastric reflux, and
elimination of the Roux stasis syndrome as well as prevention of future
enterogastric reflux in patients undergoing conversion from Roux-en-Y to
Billroth I. Serial evaluation of gastric emptying after conversion to a
Billroth I configuration to determine whether dysmotility is improved or
eliminated. RESULTS: Symptoms were completely resolved in 22 of the 26
surviving patients, with follow-up of 6 months to 4 years. None of the 26
patients have had any bilious vomiting postoperatively. Roux-en-Y stasis
has been corrected when due to a mechanical problem (eg, strictures,
marginal ulcers), although thus far normal gastric emptying has not been
observed in all of these multiply surgically treated patients. CONCLUSIONS:
Enterogastric reflux is common following most ulcer operations. Attempted
correction of this problem may result in other difficulties, including
delayed emptying due to Roux-en-Y stasis. The fact that most patients with
enterogastric reflux are female suggests that this condition is related to
disordered motility; therefore, vagal interruption and major gastric
resections should be carefully considered to avoid future disabling
problems.
— Dina McBride
April 21, 2004
— Dina McBride
April 22, 2004
— Dina McBride
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