[The functionally defective Roux Y-loop in biliodigestive anastomoses].
In comparison to common radiologic methods hepato-biliary sequential scintigraphy proves superior in the investigation of the choledocho-(hepatico-)jejunostomy Roux-en-Y. The functional behavior of the jejunal-(Roux-en-Y-) loop is demonstrated. After biliary-intestinal anastomoses, 15 healthy patients showed normal dynamic studies with unimpeded bile passage. Hypotonic loops with intrahepatic bile stasis responsible for cholangitis were seen in 2 patients. A strangulation phenomenon on the level of the mesocolon hiatus responsible for upper abdominal pain is demonstrated in one case.
D001646:Bile / Q000502:physiology; D002761:Cholangitis / Q000601:surgery; D002779:Cholestasis / Q000601:surgery; D003135:Common Bile Duct / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D007583:Jejunum / Q000000981:diagnostic imaging / Q000601:surgery*; D008722:Methods; D011877:Radionuclide Imaging; D013667:Technetium
D013667:Technetium
Funktionsgestörte Roux-Y-Schlinge bei biliodigestiven Anastomosen.