Motor function was investigated by constant perfusion manometry in the Roux limb of ten patients who had undergone total gastrectomy and Roux-en-Y anastomosis. Results showed that in the fasting state, the migrating motor complex (MMC) was comletely absent, retrograde in direction or bursts of nonphasic pressure activity. Reduced motor activity patterns occurred after the meal in some patients. Four patients failed to convert fasting state into the feeding state. Total gastrectomy with Roux-en-Y anastomoses provakes a relatively severe distubance in motor function, which could contribute to postoperative upper abdominal distress.
Citation：
Wan Jin,Wang Jifu.. EFFECT OF TOTAL GASTRECTOMY AND ROUX-EN-Y RECONSTRUCTION FOR GASTRIC CANCER ON MOTILITY OF ROUX LIMB. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 1998, 5(3): 153-155. doi:
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Copyright © the editorial department of CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY of West China Medical Publisher. All rights reserved
| 1. |
Malagalada JR, Camilleri M, Stanghellini V. Manoetric diagnosis of gastrointestinal motility disorders. New York:Thieme Incorporated, 1986.
|
| 2. |
Kerlin P, Phillips S. Variability of motility of the ileum and jujunum in healthy humans. Gastroenterology, 1982; 82∶694.
|
| 3. |
Mathias JR. Fernandez A, Sninsky CA, et al.Nausea, vomiting and abdominal pain after RouxenY anastomosis: motility of the jejunal limb. Gastroenterology, 1985; 88∶101.
|
| 4. |
Bassotti G, Gulla P, Bettijc C, et al.Manometric evaluation of jejunal limb after total gastrectomy and RouxY anastomosis for gastric cancer. Br J Surg, 1990; 77∶1025.
|
| 5. |
Perino LE, Adcock KA, Goff JS. Gastrointestinal symptoms, motility and transit after the RouxenY operation. Am J Gastroenterology, 1988; 83∶380.
|
| 6. |
Gustavsson S, Ilstrup DM, Morrison P, et al.RouxY stasis syndrom after gastrectomy. Am J Surg, 1988; 155∶490.
|
| 7. |
Karlstrom LH, Kelly KA. Ectopic jejunal pacemakes and gastric emptying after Roux gastrectomy: effect of intestinal pacing. Surgery, 1989; 106∶867.
|
| 8. |
Vantrappen G, Coremans G, Janssen S, et al.Inversion of the slow wave frequency gradient in symptomatic patients with RouxenY anastomosis. Gastroenterology, 1988; 94∶A477.
|
- 1. Malagalada JR, Camilleri M, Stanghellini V. Manoetric diagnosis of gastrointestinal motility disorders. New York:Thieme Incorporated, 1986.
- 2. Kerlin P, Phillips S. Variability of motility of the ileum and jujunum in healthy humans. Gastroenterology, 1982; 82∶694.
- 3. Mathias JR. Fernandez A, Sninsky CA, et al.Nausea, vomiting and abdominal pain after RouxenY anastomosis: motility of the jejunal limb. Gastroenterology, 1985; 88∶101.
- 4. Bassotti G, Gulla P, Bettijc C, et al.Manometric evaluation of jejunal limb after total gastrectomy and RouxY anastomosis for gastric cancer. Br J Surg, 1990; 77∶1025.
- 5. Perino LE, Adcock KA, Goff JS. Gastrointestinal symptoms, motility and transit after the RouxenY operation. Am J Gastroenterology, 1988; 83∶380.
- 6. Gustavsson S, Ilstrup DM, Morrison P, et al.RouxY stasis syndrom after gastrectomy. Am J Surg, 1988; 155∶490.
- 7. Karlstrom LH, Kelly KA. Ectopic jejunal pacemakes and gastric emptying after Roux gastrectomy: effect of intestinal pacing. Surgery, 1989; 106∶867.
- 8. Vantrappen G, Coremans G, Janssen S, et al.Inversion of the slow wave frequency gradient in symptomatic patients with RouxenY anastomosis. Gastroenterology, 1988; 94∶A477.
