title: Uncut Roux-en-y esophagojejunostomy: A new reconstruction technique after total gastrectomy.
abstract: OBJECTIVE
  Uncut Roux-en-y is a reconstruction method with a main purpose of diminishing Roux stasis syndrome. In this study we performed this procedure to evaluate utility and complications of this technique, as well as its effect on Roux stasis syndrome.
  
  
  METHODS
  Total gastrectomy with Uncut Roux-en-y esophagojejunostomy was performed on 94 patients. This technique consists of an artificial jejunal occlusion 5 cm proximal to anastomosis and a jejunojejunostomy between afferent and efferent loops. Diagnosis of "Roux stasis syndrome" was made by clinical criteria.
  
  
  RESULTS
  According to the mentioned criteria, the "Roux stasis syndrome" occurred in 21.2% of the patients. Whereas occurrence rate of other complications was: dysphasia (13.8%), benign stricture in anastomosis (9.6%), and fistula (5.3%).
  
  
  CONCLUSIONS
  Comparing the results of our study to other related studies indicates that this type of operation has lower rate of "Roux stasis syndrome", and also decreases the postoperative stricture rate of the anastomosis.
authors.affiliation: Surgical Research Center, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
authors.forename: A
authors.initials: A
authors.lastname: Jangjoo
authors.forename: M
authors.initials: M
authors.lastname: Mehrabi Bahar
authors.forename: M
authors.initials: M
authors.lastname: Aliakbarian
keywords: Roux stasis syndrome; Roux-en-y esophagojejunostomy; Total gastrectomy; Uncut Roux-en-y esophagojejunostomy