original article Eur Surg (2018) 50:215–220 https://doi.org/10.1007/s10353-018-0540-2 Esophageal and jejunal motility in patients with total gastrectomy reconstructed with Roux-en-Y loop Marcelo A. Beltrán Received: 1 September 2017 / Accepted: 10 May 2018 / Published online: 30 May 2018 © Springer-Verlag GmbH Austria, part of Springer Nature 2018 Summary Introduction Background The standard technique for reconstruc- tion of the intestinal transit after total gastrectomy for The standard technique for reconstruction of the in- gastric cancer is the Roux-en-Y anastomosis between testinal transit after total gastrectomy (TG) for gastric the esophagus and a jejunal loop, which prevents the cancer is the Roux-en-Y anastomosis between the reﬂux of alkaline intestinal juice. The purpose of this esophagus and a jejunal loop (EJRY), which prevents study was to analyze the esophageal body motility and the reﬂux of alkaline intestinal juice and associated the motility of the proximal jejunal loop in patients alkaline esophagitis [1–4]. The EJRY is related to subjected to total gastrectomy. other symptoms such as epigastric pain, bloating, Patients and methods A prospective cohort of 17 total regurgitation, nausea, postprandial vomit, dyspha- gastrectomy patients, operated on 5 years earlier, were gia, dumping, and diarrhea. Together they constitute studied using high-resolution esophageal manometry
European Surgery – Springer Journals
Published: May 30, 2018
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