DISMOTILITY OF THE ROUX LIMB AFTER TOTAL GASTRECTOMY
| Autor: | Seiji Ohigashi, Yoshinori Mushika, Takeki Nishio, Hiroshi Matsufuji, Shintaro Sakurai, Kenji Sakurai, Seigo Nakamura, Izumi Oida |
|---|---|
| Rok vydání: | 1999 |
| Předmět: | |
| Zdroj: | Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association). 60:2300-2304 |
| ISSN: | 1882-5133 1345-2843 |
| Popis: | Roux-en-Y reconstruction is one of the most common procedures after total gastrectomy. Although many patients complain of various symptoms, worsen by taking meals, such as abdominal pain, discomfort, fullness and vomit. These suggest motor disorders in such patients. Manometry was performed to investigate the motility of Roux limb in eight patients in whom total gastrectomy had been performed. The duration of phase III increased in three out of five patients in whom Migrating Motor Complexes were presented. In two patients, phase III was absent and in another abnormal phasic contractions were observed during the fasting recordings. In six patients, the fasting pattern was converted to the fed pattern by meal as controls. The phase III like contractions persisted during the postprandeal period in two cases. The frequency and Motiltiy Index during the postprandeal activities decreased in three and increased in two. Motility abnormalities of the Roux limb were recognized in seven out of eight patients. These findings suggest that motility disorders of the Roux limb play important roles in various abdominal symptoms after total gastrectomy. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|