Technical complications of Roux-en-Y gastrojejunostomy.
The Roux-en-Y gastrojejunostomy has become an increasingly popular technique for gastrointestinal tract reconstruction since it is purported to obviate many of the classic complications of the Billroth II gastrojejunostomy. In a review of over 900 Roux-en-Y gastrojejunostomies, seven patients with complications mimicking those seen with Billroth II reconstruction were identified. These complications included duodenal stump blowout, proximal blind loop or afferent loop syndrome, and bile-reflux gastritis. These complications resulted from technical problems in construction of the Roux-en-Y. Once the complications were diagnosed, they were amenable to operative correction. Recognition of the potential for these complications following Roux-en-Y gastrojejunostomy should aid in early diagnosis and treatment.
D000328:Adult; D000343:Afferent Loop Syndrome / Q000209:etiology* / Q000601:surgery; D000368:Aged; D001660:Biliary Tract Diseases / Q000150:complications; D001765:Blind Loop Syndrome / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D004386:Duodenum / Q000000981:diagnostic imaging / Q000601:surgery; D005260:Female; D005756:Gastritis / Q000209:etiology*; D005763:Gastroenterostomy / Q000379:methods*; D006801:Humans; D007412:Intestinal Fistula / Q000209:etiology* / Q000601:surgery; D007583:Jejunum / Q000601:surgery*; D008875:Middle Aged; D011183:Postoperative Complications; D011859:Radiography; D013997:Time Factors