[Results of stomach resection with Roux gastrojejunostomy for gastroduodenal ulcers].
In a follow-up study operative risk, postoperative functional disorders and incidence of anastomotic (recurrent) ulcer after partial gastrectomy with Roux-en-Y gastrojejunostomy for gastroduodenal ulcer were evaluated in 52 patients. Lethality for elective treatment was 0 and for emergency surgery (ulcer bleeding) 16.7%. 29.5% of the patients reported postoperative functional disorders. Because Roux-en-Y reconstruction prevented duodenogastric reflux, intragastric pH was low (median 2.2) and in the absence of ulcer protective, neutralizing reflux anastomotic ulcer occurred in 15.9% of the patients. With regard to the high rate of recurrent ulcer Roux-en-Y reconstruction after partial gastrectomy for primary ulcer surgery should be avoided and reconstruction procedures preferred, which guarantee duodenogastric reflux.
Walgenbach
S
S
Klinik und Poliklinik für Allgemein- und Abdominalchirurgie, Johannes-Gutenberg-Universität Mainz.
Junginger
T
T
D000713:Anastomosis, Roux-en-Y; D001655:Bile Reflux / Q000000981:diagnostic imaging; D005260:Female; D005500:Follow-Up Studies; D005743:Gastrectomy; D005745:Gastric Acidity Determination; D005755:Gastrins / Q000097:blood; D006801:Humans; D007583:Jejunum / Q000601:surgery*; D008297:Male; D010437:Peptic Ulcer / Q000000981:diagnostic imaging / Q000601:surgery*; D011178:Postgastrectomy Syndromes / Q000000981:diagnostic imaging; D011183:Postoperative Complications / Q000000981:diagnostic imaging*; D011859:Radiography; D012008:Recurrence
D005755:Gastrins
Ergebnisse der Magenresektion mit Gastrojejunostomie nach Roux wegen gastroduodenaler Ulcera.