Electromyographical Study on the Residual Stomach Following Proximal Gastrectomy

Konegawa, Ryuji; Komi, Nobuhiko

doi:10.1540/jsmr1965.14.29

Cited by 1 publication

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“…In a further study, with similar methodology and section, vagotomy and re-anastomosis of the stomach, it was observed that the electrical control activity in the proximal stomach was unaltered and the electrical activity of the distal stomach recuperated after the 30th postoperative day (1) . In dogs studied by KONEGAWA (16) , where a proximal vagotomy with subtotal gastrectomy was carried out, it was observed through implanted electrodes that ECA was prolonged during fasting, and when food was ingested, even with different compositions, a near normal rhythm occurred after the fourth week. ANDO (1) and KUWASHIMA (17) carried out partial gastrectomies with different vagotomy techniques in all the animals and the electrical control activity had recuperated on around the 15th postoperative day.…”

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confidence: 99%

An experimental study of the electrical activity of the bypassed stomach in the Roux-en-Y gastric bypass

Ferraz

Leão

Campos

et al. 2007

Arq. Gastroenterol.

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-Background -Surgical options for morbid obesity are diverse, and the Roux-en-Y gastric bypass, initially described by Fobi has gained popularity. Knowledge about the physiology of the bypassed stomach is limited because this newly produced segment of the stomach is inaccessible to endoscopic or contrast radiological studies. Aim -To evaluate the myoelectric activity of the bypassed stomach and its reply to the feeding. Methods -An experimental protocol was conducted to evaluate postoperative gastric bypassed motility in dogs submitted to the Roux-en-Y gastric bypass procedure. Two groups of five animals were studied on postoperative fasting and after a standard meal, recording electrical response and control activity. Both control and Roux-en-Y gastric bypass operated study group had a pair of electrodes placed on three points of the remaining stomach: fundus, body and antrum. Data registration was performed after complete ileus resolution, and analysed with DATA Q Inst. series 200. Results -The results achieved on the conditions of this study suggest that: 1. the remaining stomach maintain the same pattern of motility; 2. there is a reduced fasting electromyography activity following the Roux-en-Y gastric bypass procedure; 3. significantly reduced fasting electric control activity when compared both groups, and a markedly reduced fasting response electric activity and; 4. the electric response to the feeding kept the same standard of the stomach, however in a statistically reduced way. Conclusion -The electrical activity of the bypassed stomach of Roux-en-Y gastric bypass procedure kept the same pattern but in a statistically reduced number of contraction.

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confidence: 99%