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Journal of Gastrointestinal Surgery

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01-05-2015 | Original Article

Antecolic Reconstruction Is a Predictor of the Occurrence of Roux Stasis Syndrome After Distal Gastrectomy

Authors: Ryota Otsuka, Toshiyuki Natsume, Takashi Maruyama, Hajime Tanaka, Hiroshi Matsuzaki

Published in: Journal of Gastrointestinal Surgery | Issue 5/2015

Abstract

Background

Roux-en-Y reconstruction after distal gastrectomy can result in delayed gastric emptying, called Roux stasis syndrome (RSS). The cause of RSS has not been completely identified. This study retrospectively investigated the development of RSS.

Methods

Between April 2008 and March 2014, we performed 138 procedures with distal gastrectomy using Roux-en-Y reconstruction. The development of RSS was analyzed and examined for correlations with the length of the operation, amount of blood loss, and surgical procedure.

Results

RSS was observed in 16 of the 138 patients. There were no relationships between the length of the operation or amount of blood loss and the development of RSS according to the Mann-Whitney U test. There were also no significant differences in the development of RSS between the patients treated with laparotomy and laparoscopic surgery, end-to-side, side-to-side, or end-to-end anastomosis or isoperistaltic or antiperistaltic anastomosis, as determined using the chi-square test. However, the development of RSS tended to lower in the patients who underwent laparoscopic surgery, side-to-side anastomosis, and isoperistaltic anastomosis. In addition, there was a significant difference between the patients who received antecolic and retrocolic reconstruction (p = 0.005).

Conclusions

Our findings suggest that antecolic reconstruction correlates with a lower likelihood of developing RSS.

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Title: Antecolic Reconstruction Is a Predictor of the Occurrence of Roux Stasis Syndrome After Distal Gastrectomy
Authors: Ryota Otsuka
Toshiyuki Natsume
Takashi Maruyama
Hajime Tanaka
Hiroshi Matsuzaki
Publication date: 01-05-2015
Publisher: Springer US
Published in: Journal of Gastrointestinal Surgery / Issue 5/2015
Print ISSN: 1091-255X
Electronic ISSN: 1873-4626
DOI: https://doi.org/10.1007/s11605-015-2770-y

At a glance: The STEP trials

Springer Medicine

Antecolic Reconstruction Is a Predictor of the Occurrence of Roux Stasis Syndrome After Distal Gastrectomy

Abstract

Background

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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