Esiste ancora la sindrome dell'ansa alla Roux?

Translated title of the contribution: Does the Roux-en-Y-stasis syndrome still exist?

Luca Cozzaglio, Massimiliano Coladonato, Celestino Tito Dagrada, Roberto Doci, Leandro Gennari

Research output: Contribution to journalArticlepeer-review

Abstract

Roux-en-Y-stasis syndrome (RYS) is a complication of subtotal gastrectomy characterized by delayed gastric emptying and vomiting. The aim of the study was to analyze RYS frequency with particular attention to diagnosis and therapy. From November 1996 to June 2004, we performed 147 distal gastrectomies with 5 cases of RYS: mean age 78 years, 3 male, 2 female, 4 adenocarcinoma and 1 GIST. Among the 5 cases, RYS was due to different causes: it was functional in 2 cases (with difficult gastric emptying due to a long gastric remnant in one patient, while the other was associated with duodenal fistula) and healed through medical therapy in both; a third patient had an edematous stenosis of the gastrojejunal anastomosis treated with medical therapy and the remaining 2 patients had jejunal obstruction due to adherences and required reoperations. RYS is a rare complication of subtotal gastrectomy determined by different causes. Recognizing the cause is very important for choice of appropriate therapy.

Translated title of the contributionDoes the Roux-en-Y-stasis syndrome still exist?
Original languageItalian
Pages (from-to)27-34
Number of pages8
JournalChirurgia Italiana
Volume57
Issue number1
Publication statusPublished - Jan 2005

ASJC Scopus subject areas

  • Surgery

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