Roux-en-Y syndrome after surgical treatment of alkaline reflux gastritis.
OBJECTIVE
to evaluate the possible existence of the so-called <<Roux-en-Y syndrome>> in a group of 21 patients who underwent surgery to correct postoperative alkaline reflux gastritis.


METHODS
the study group consisted of 15 men and 6 women (mean age 39.2 years). All had undergone Billroth II subtotal gastrectomy (20 for ulcer and 1 for gastric cancer). Alkaline diversion was done with the Roux-en-Y technique 50-60 cm away from the gastrojejunal anastomosis. In all patients bilateral truncal vagotomy at the hiatus was also done. No mechanical alterations in the gastrojejunal anastomosis were found during surgery. Mean follow-up period was 8.2 years (range 6.5-10.7 years), during which clinical, radiological and endoscopic studies were obtained. Gammagraphic study of gastric remnant emptying was done on postoperative day 30.


RESULTS
none of the patients had clinical, radiological or endoscopic manifestations that indicated the presence of Roux-en-Y syndrome. Gammagraphic studies of gastric remnant emptying did not demonstrate significant differences between preoperative (T1/2: 7.3 min) and postoperative values (T1/2: 10.1 min).


CONCLUSIONS
we found no evidence of disturbances in gastric remnant emptying after Roux-en-Y gastrojejunostomy to treat postoperative alkaline gastric reflux.
Martínez-Ramos
C
C
Servicio de Cirugía General, Hospital Clínico "San Carlos", Madrid, España.
Núñez Peña
J
J
Sanz López
R
R
Tamames Escobar
S
S
D000328:Adult; D000713:Anastomosis, Roux-en-Y / Q000009:adverse effects; D001655:Bile Reflux / Q000517:prevention & control*; D015904:Biliopancreatic Diversion; D005260:Female; D005743:Gastrectomy; D005746:Gastric Emptying; D005756:Gastritis / Q000209:etiology / Q000601:surgery*; D005763:Gastroenterostomy; D006801:Humans; D007583:Jejunum / Q000601:surgery*; D008297:Male; D011183:Postoperative Complications; D013274:Stomach Neoplasms / Q000601:surgery; D013276:Stomach Ulcer / Q000601:surgery; D013577:Syndrome; D015167:Vagotomy, Truncal