Small bowel transit and gastric emptying after biliodigestive anastomosis using the uncut jejunal loop
The Roux-en-Y loop is an effective procedure for biliodigestive drainage. However, up to 15% of patients suffer from postoperative cholangitis or blind loop syndrome. A new technique to prevent motility abnormalities has been developed. Male Lewis rats were used to compare gastric emptying and trans...
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| Veröffentlicht in: | The American journal of surgery 2003-12, Vol.186 (6), p.747-751 |
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| creator | Klaus, Alexander Hinder, Ronald A Nguyen, Justin H.H Nelson, Kevin L |
| description | The Roux-en-Y loop is an effective procedure for biliodigestive drainage. However, up to 15% of patients suffer from postoperative cholangitis or blind loop syndrome. A new technique to prevent motility abnormalities has been developed.
Male Lewis rats were used to compare gastric emptying and transit in the small bowel after either a standard Roux-en-Y anastomosis or a new biliodigestive anastomosis technique which involves creating an “uncut” jejunal loop with luminal occlusion. Unoperated rats served as controls.
99Technetium HIDA and
111Indium-tagged amberlite were respectively used to investigate small bowel transit and gastric emptying.
Histopathology showed distinctive abnormalities only in the liver of conventional Roux-en-Y animals. No recanalization of the obliterated gut lumen occurred in uncut Roux animals. Distribution of
99Tc-HIDA and
111In showed were similar in both groups. Gastric emptying is slowed in both groups.
The uncut proximal jejunum loop is a good alternative to the conventional Roux-en-Y loop and showed preserved small bowel motility and adequate jejunal transit. Gastric emptying is slowed in both groups. |
| doi_str_mv | 10.1016/j.amjsurg.2003.08.025 |
| format | Article |
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Male Lewis rats were used to compare gastric emptying and transit in the small bowel after either a standard Roux-en-Y anastomosis or a new biliodigestive anastomosis technique which involves creating an “uncut” jejunal loop with luminal occlusion. Unoperated rats served as controls.
99Technetium HIDA and
111Indium-tagged amberlite were respectively used to investigate small bowel transit and gastric emptying.
Histopathology showed distinctive abnormalities only in the liver of conventional Roux-en-Y animals. No recanalization of the obliterated gut lumen occurred in uncut Roux animals. Distribution of
99Tc-HIDA and
111In showed were similar in both groups. Gastric emptying is slowed in both groups.
The uncut proximal jejunum loop is a good alternative to the conventional Roux-en-Y loop and showed preserved small bowel motility and adequate jejunal transit. Gastric emptying is slowed in both groups.</description><identifier>ISSN: 0002-9610</identifier><identifier>EISSN: 1879-1883</identifier><identifier>DOI: 10.1016/j.amjsurg.2003.08.025</identifier><identifier>PMID: 14672790</identifier><identifier>CODEN: AJSUAB</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Anastomosis, Roux-en-Y ; Animals ; Biliodigestive anastomosis ; Biological and medical sciences ; Cholangitis ; Choledochostomy - methods ; Common Bile Duct - pathology ; Gastric Emptying ; Gastrointestinal Transit ; Indium Radioisotopes ; Intestine, Small - physiology ; Jejunum - surgery ; Liver - pathology ; Male ; Medical sciences ; Motility ; Postoperative period ; Radiopharmaceuticals ; Rats ; Rats, Inbred Lew ; Resins, Synthetic ; Rodents ; Roux-en-Y ; Stomach, duodenum, intestine, rectum, anus ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the digestive system ; Technetium Tc 99m Lidofenin</subject><ispartof>The American journal of surgery, 2003-12, Vol.186 (6), p.747-751</ispartof><rights>2003 Excerpta Medica Inc.</rights><rights>2004 INIST-CNRS</rights><rights>Copyright Elsevier Limited Jan 2003</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c513t-625c02efdc428dce96e1aea0f8ab550fa82405602bde13ad047c26d9f18cb9523</citedby><cites>FETCH-LOGICAL-c513t-625c02efdc428dce96e1aea0f8ab550fa82405602bde13ad047c26d9f18cb9523</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/1031191779?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>309,310,314,780,784,789,790,3548,23928,23929,25138,27922,27923,45993,64383,64385,64387,72239</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=15378898$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/14672790$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Klaus, Alexander</creatorcontrib><creatorcontrib>Hinder, Ronald A</creatorcontrib><creatorcontrib>Nguyen, Justin H.H</creatorcontrib><creatorcontrib>Nelson, Kevin L</creatorcontrib><title>Small bowel transit and gastric emptying after biliodigestive anastomosis using the uncut jejunal loop</title><title>The American journal of surgery</title><addtitle>Am J Surg</addtitle><description>The Roux-en-Y loop is an effective procedure for biliodigestive drainage. However, up to 15% of patients suffer from postoperative cholangitis or blind loop syndrome. A new technique to prevent motility abnormalities has been developed.
Male Lewis rats were used to compare gastric emptying and transit in the small bowel after either a standard Roux-en-Y anastomosis or a new biliodigestive anastomosis technique which involves creating an “uncut” jejunal loop with luminal occlusion. Unoperated rats served as controls.
99Technetium HIDA and
111Indium-tagged amberlite were respectively used to investigate small bowel transit and gastric emptying.
Histopathology showed distinctive abnormalities only in the liver of conventional Roux-en-Y animals. No recanalization of the obliterated gut lumen occurred in uncut Roux animals. Distribution of
99Tc-HIDA and
111In showed were similar in both groups. Gastric emptying is slowed in both groups.
The uncut proximal jejunum loop is a good alternative to the conventional Roux-en-Y loop and showed preserved small bowel motility and adequate jejunal transit. Gastric emptying is slowed in both groups.</description><subject>Anastomosis, Roux-en-Y</subject><subject>Animals</subject><subject>Biliodigestive anastomosis</subject><subject>Biological and medical sciences</subject><subject>Cholangitis</subject><subject>Choledochostomy - methods</subject><subject>Common Bile Duct - pathology</subject><subject>Gastric Emptying</subject><subject>Gastrointestinal Transit</subject><subject>Indium Radioisotopes</subject><subject>Intestine, Small - physiology</subject><subject>Jejunum - surgery</subject><subject>Liver - pathology</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Motility</subject><subject>Postoperative period</subject><subject>Radiopharmaceuticals</subject><subject>Rats</subject><subject>Rats, Inbred Lew</subject><subject>Resins, Synthetic</subject><subject>Rodents</subject><subject>Roux-en-Y</subject><subject>Stomach, duodenum, intestine, rectum, anus</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. 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Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the digestive system</topic><topic>Technetium Tc 99m Lidofenin</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Klaus, Alexander</creatorcontrib><creatorcontrib>Hinder, Ronald A</creatorcontrib><creatorcontrib>Nguyen, Justin H.H</creatorcontrib><creatorcontrib>Nelson, Kevin L</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Klaus, Alexander</au><au>Hinder, Ronald A</au><au>Nguyen, Justin H.H</au><au>Nelson, Kevin L</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Small bowel transit and gastric emptying after biliodigestive anastomosis using the uncut jejunal loop</atitle><jtitle>The American journal of surgery</jtitle><addtitle>Am J Surg</addtitle><date>2003-12-01</date><risdate>2003</risdate><volume>186</volume><issue>6</issue><spage>747</spage><epage>751</epage><pages>747-751</pages><issn>0002-9610</issn><eissn>1879-1883</eissn><coden>AJSUAB</coden><abstract>The Roux-en-Y loop is an effective procedure for biliodigestive drainage. However, up to 15% of patients suffer from postoperative cholangitis or blind loop syndrome. A new technique to prevent motility abnormalities has been developed.
Male Lewis rats were used to compare gastric emptying and transit in the small bowel after either a standard Roux-en-Y anastomosis or a new biliodigestive anastomosis technique which involves creating an “uncut” jejunal loop with luminal occlusion. Unoperated rats served as controls.
99Technetium HIDA and
111Indium-tagged amberlite were respectively used to investigate small bowel transit and gastric emptying.
Histopathology showed distinctive abnormalities only in the liver of conventional Roux-en-Y animals. No recanalization of the obliterated gut lumen occurred in uncut Roux animals. Distribution of
99Tc-HIDA and
111In showed were similar in both groups. Gastric emptying is slowed in both groups.
The uncut proximal jejunum loop is a good alternative to the conventional Roux-en-Y loop and showed preserved small bowel motility and adequate jejunal transit. Gastric emptying is slowed in both groups.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>14672790</pmid><doi>10.1016/j.amjsurg.2003.08.025</doi><tpages>5</tpages></addata></record> |
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| subjects | Anastomosis, Roux-en-Y Animals Biliodigestive anastomosis Biological and medical sciences Cholangitis Choledochostomy - methods Common Bile Duct - pathology Gastric Emptying Gastrointestinal Transit Indium Radioisotopes Intestine, Small - physiology Jejunum - surgery Liver - pathology Male Medical sciences Motility Postoperative period Radiopharmaceuticals Rats Rats, Inbred Lew Resins, Synthetic Rodents Roux-en-Y Stomach, duodenum, intestine, rectum, anus Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the digestive system Technetium Tc 99m Lidofenin |
| title | Small bowel transit and gastric emptying after biliodigestive anastomosis using the uncut jejunal loop |
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