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Erschienen in: European Surgery 5/2018

30.05.2018 | original article

Esophageal and jejunal motility in patients with total gastrectomy reconstructed with Roux-en-Y loop

verfasst von: Marcelo A. Beltrán, MD

Erschienen in: European Surgery | Ausgabe 5/2018

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Summary

Background

The standard technique for reconstruction of the intestinal transit after total gastrectomy for gastric cancer is the Roux-en-Y anastomosis between the esophagus and a jejunal loop, which prevents the reflux of alkaline intestinal juice. The purpose of this study was to analyze the esophageal body motility and the motility of the proximal jejunal loop in patients subjected to total gastrectomy.

Patients and methods

A prospective cohort of 17 total gastrectomy patients, operated on 5 years earlier, were studied using high-resolution esophageal manometry including the first 7 cm of the jejunal loop.

Results

Manometry results were similar for all patients, showing normal esophageal body motility, with the exception of the maximum intrabolus pressure that was elevated in all cases. The jejunal loop motility was disordered and ineffective.

Conclusion

Esophageal body motility was normal 5 years after total gastrectomy. However, maximum mean intrabolus pressure was elevated in all patients. The most plausible reason for this finding would be the resistance exerted by the motility of the jejunal loop. Although this abnormality might not explain the mild symptoms presented by some patients, its pathological consequences are of little relevance.
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Metadaten
Titel
Esophageal and jejunal motility in patients with total gastrectomy reconstructed with Roux-en-Y loop
verfasst von
Marcelo A. Beltrán, MD
Publikationsdatum
30.05.2018
Verlag
Springer Vienna
Erschienen in
European Surgery / Ausgabe 5/2018
Print ISSN: 1682-8631
Elektronische ISSN: 1682-4016
DOI
https://doi.org/10.1007/s10353-018-0540-2

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