Roux-en-Y duodenojejunostomy improves gastric emptying in experimental obstruction of the distal duodenum. 2018

Sławomir Mrowiec, and Krzysztof Jonderko, and Zygmunt Górka, and Paweł Lampe, and Anna Kasicka-Jonderko, and Joanna Kołodziejczak-Nalewajka, and Katarzyna Kuśnierz, and Marek Olakowski
Department of Gastrointestinal Surgery, School of Medicine, Medical University of Silesia, Katowice, Poland.

We undertook a comparative survey of gastric emptying (GE) kinetics after two variants of bypass surgery for upper bowel obstruction. In 10 dogs with experimental upper bowel obstruction, five were randomized to obtain gastrojejunal anastomosis (GA), and the other five received Roux-en-Y duodenojejunal anastomosis (DA). Duplicate scintigraphic measurements of GE of a solid meal were accomplished in every animal before surgery and during the early (2-3 weeks), medium (3 months), and late (6 months) post-operative period. The GE curves were fitted with a power-exponential function to derive the GE half time T½, and the curve shape parameter S. Early after surgery T½ slightly decreased by -18±21 min in the DA group and lengthened by 91±37 min in the GA group (p = 0.042). In both groups an increase in the S parameter was found then. In either group T½ gradually declined towards the basal value during the medium and late post-operative period. On the other hand, net differences relative to the basal situation in the S values appeared to be positive in the GA group (0.32±0.11 at 3 months; 0.64±0.19 at six months), and negative in the DA group (-0.30±0.09 at 3 months; -0.01±0.20 at six months). Hence a statistically significant contrast was found between those differences: p = 0.0022 at 3 months, and p = 0.045 at six months after the surgery. Roux-en-Y duodenojejunal anastomosis appears to be superior to the classical gastrojejunal anastomosis while restoring patency of the gastrointestinal passage in the case of upper bowel obstruction.

UI MeSH Term Description Entries
D011897 Random Allocation A process involving chance used in therapeutic trials or other research endeavor for allocating experimental subjects, human or animal, between treatment and control groups, or among treatment groups. It may also apply to experiments on inanimate objects. Randomization,Allocation, Random
D004285 Dogs The domestic dog, Canis familiaris, comprising about 400 breeds, of the carnivore family CANIDAE. They are worldwide in distribution and live in association with people. (Walker's Mammals of the World, 5th ed, p1065) Canis familiaris,Dog
D004386 Duodenum The shortest and widest portion of the SMALL INTESTINE adjacent to the PYLORUS of the STOMACH. It is named for having the length equal to about the width of 12 fingers. Duodenums
D005746 Gastric Emptying The evacuation of food from the stomach into the duodenum. Emptying, Gastric,Emptyings, Gastric,Gastric Emptyings
D000713 Anastomosis, Roux-en-Y A Y-shaped surgical anastomosis of any part of the digestive system which includes the small intestine as the eventual drainage site. Roux-en-Y Anastomosis,Roux-en-Y Diversion,Roux-en-Y Loop,Anastomoses, Roux-en-Y,Anastomosis, Roux en Y,Diversion, Roux-en-Y,Diversions, Roux-en-Y,Loop, Roux-en-Y,Loops, Roux-en-Y,Roux en Y Anastomosis,Roux en Y Diversion,Roux en Y Loop,Roux-en-Y Anastomoses,Roux-en-Y Diversions,Roux-en-Y Loops
D000818 Animals Unicellular or multicellular, heterotrophic organisms, that have sensation and the power of voluntary movement. Under the older five kingdom paradigm, Animalia was one of the kingdoms. Under the modern three domain model, Animalia represents one of the many groups in the domain EUKARYOTA. Animal,Metazoa,Animalia
D013270 Stomach An organ of digestion situated in the left upper quadrant of the abdomen between the termination of the ESOPHAGUS and the beginning of the DUODENUM. Stomachs
D015390 Gastric Bypass Surgical procedure in which the STOMACH is transected high on the body. The resulting small proximal gastric pouch is joined to any parts of the SMALL INTESTINE by an end-to-side SURGICAL ANASTOMOSIS, depending on the amounts of intestinal surface being bypasses. This procedure is used frequently in the treatment of MORBID OBESITY by limiting the size of functional STOMACH, food intake, and food absorption. Gastroileal Bypass,Gastrojejunostomy,Greenville Gastric Bypass,Roux-en-Y Gastric Bypass,Bypass, Gastric,Bypass, Gastroileal,Bypass, Roux-en-Y Gastric,Gastric Bypass, Greenville,Gastric Bypass, Roux-en-Y,Gastrojejunostomies,Roux en Y Gastric Bypass

Related Publications

Sławomir Mrowiec, and Krzysztof Jonderko, and Zygmunt Górka, and Paweł Lampe, and Anna Kasicka-Jonderko, and Joanna Kołodziejczak-Nalewajka, and Katarzyna Kuśnierz, and Marek Olakowski
April 1992, Annals of surgery,
Sławomir Mrowiec, and Krzysztof Jonderko, and Zygmunt Górka, and Paweł Lampe, and Anna Kasicka-Jonderko, and Joanna Kołodziejczak-Nalewajka, and Katarzyna Kuśnierz, and Marek Olakowski
June 2018, The American surgeon,
Sławomir Mrowiec, and Krzysztof Jonderko, and Zygmunt Górka, and Paweł Lampe, and Anna Kasicka-Jonderko, and Joanna Kołodziejczak-Nalewajka, and Katarzyna Kuśnierz, and Marek Olakowski
September 2009, Southern medical journal,
Sławomir Mrowiec, and Krzysztof Jonderko, and Zygmunt Górka, and Paweł Lampe, and Anna Kasicka-Jonderko, and Joanna Kołodziejczak-Nalewajka, and Katarzyna Kuśnierz, and Marek Olakowski
January 1984, South African journal of surgery. Suid-Afrikaanse tydskrif vir chirurgie,
Sławomir Mrowiec, and Krzysztof Jonderko, and Zygmunt Górka, and Paweł Lampe, and Anna Kasicka-Jonderko, and Joanna Kołodziejczak-Nalewajka, and Katarzyna Kuśnierz, and Marek Olakowski
October 1988, Surgery,
Sławomir Mrowiec, and Krzysztof Jonderko, and Zygmunt Górka, and Paweł Lampe, and Anna Kasicka-Jonderko, and Joanna Kołodziejczak-Nalewajka, and Katarzyna Kuśnierz, and Marek Olakowski
January 1998, Annali italiani di chirurgia,
Sławomir Mrowiec, and Krzysztof Jonderko, and Zygmunt Górka, and Paweł Lampe, and Anna Kasicka-Jonderko, and Joanna Kołodziejczak-Nalewajka, and Katarzyna Kuśnierz, and Marek Olakowski
October 1987, The British journal of surgery,
Sławomir Mrowiec, and Krzysztof Jonderko, and Zygmunt Górka, and Paweł Lampe, and Anna Kasicka-Jonderko, and Joanna Kołodziejczak-Nalewajka, and Katarzyna Kuśnierz, and Marek Olakowski
November 1990, The Journal of surgical research,
Sławomir Mrowiec, and Krzysztof Jonderko, and Zygmunt Górka, and Paweł Lampe, and Anna Kasicka-Jonderko, and Joanna Kołodziejczak-Nalewajka, and Katarzyna Kuśnierz, and Marek Olakowski
May 2016, Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract,
Sławomir Mrowiec, and Krzysztof Jonderko, and Zygmunt Górka, and Paweł Lampe, and Anna Kasicka-Jonderko, and Joanna Kołodziejczak-Nalewajka, and Katarzyna Kuśnierz, and Marek Olakowski
May 1993, Obesity surgery,
Copied contents to your clipboard!