The cut-closed-reconnected Roux loop.
BACKGROUND
Motility disturbances in the Roux loop can negatively influence the outcome of reflux gastritis; the uncut Roux loop does not have these disadvantages, but is less suitable for clinical application because of staple dehiscence. The reported "cut-closed-reconnected" Roux loop has the same physiological starting points as the uncut Roux loop, but a difference is an extra closure at the site of the seromuscular level.


METHODS
The technique of the cut-closed-reconnected Roux loop is described.


RESULTS
After 1 year, the clinical findings in 8 patients were as follows: 1 patient free of symptoms, 4 with gastric pain, 2 patients vomited (1 bilious), and 1 felt fullness.


CONCLUSIONS
Dehiscence of the closure could not be demonstrated by endoscopy, barium contrast roentgenography, and HIDA scan.
Kummer
E W
EW
Department of Surgery Medical Spectrum Twente, Enschede, The Netherlands.
Gerritsen
J J
JJ
Brummelkamp
W H
WH
D000328:Adult; D000368:Aged; D000713:Anastomosis, Roux-en-Y / Q000009:adverse effects / Q000379:methods*; D001646:Bile; D004383:Duodenogastric Reflux / Q000601:surgery; D004942:Esophagitis, Peptic / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D005746:Gastric Emptying / Q000502:physiology; D005756:Gastritis / Q000601:surgery; D005769:Gastrointestinal Motility / Q000502:physiology; D006801:Humans; D007583:Jejunum / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D010149:Postoperative Pain / Q000209:etiology; D010189:Pancreatic Juice; D020250:Postoperative Nausea and Vomiting / Q000209:etiology; D013270:Stomach / Q000601:surgery*; D013529:Surgical Wound Dehiscence / Q000209:etiology; D013537:Sutures / Q000009:adverse effects