Esophageal and jejunal motor function after total gastrectomy and Roux-Y esophagojejunostomy

Haglund, Ulf; Fork, Frans-Thomas; Högström, H; Lilja, B.

doi:10.1016/0002-9610(89)90557-6

Cited by 10 publications

(7 citation statements)

References 9 publications

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“…Thus, reasons other than the reservoir space may be the underlying factors influencing oral intake after esophagectomy. In general, continuous anterograde peristalsis was stronger in the jejunum than in the colon 13 which is well preserved after Roux‐en‐Y reconstruction 21,22 . This characteristic of the jejunum enables the consumption of more at a slow and continuous pace during a meal, while stasis results in a lesser total oral intake although the reserve space in the colon group is greater than that in the jejunum group.…”

Section: Discussionmentioning

confidence: 92%

“…In general, continuous anterograde peristalsis was stronger in the jejunum than in the colon 13 which is well preserved after Roux-en-Y reconstruction. 21,22 This characteristic of the jejunum enables the consumption of more at a slow and continuous pace during a meal, while stasis results in a lesser total oral intake although the reserve space in the colon group is greater than that in the jejunum group. Alternatively, the presence of Bauhin's valve in the terminal ileum may have caused the food stasis in the colon group.…”

Section: Discussionmentioning

confidence: 99%

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Long-term and short-term evaluation of esophageal reconstruction using the colon or the jejunum in esophageal cancer patients after gastrectomy

et al. 2008

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For esophageal cancer patients, the gastric tube is the first choice as an esophageal substitute, with the colon or the jejunum being used when the stomach cannot be used. We retrospectively compared these two methods from the viewpoint of peri-operative complications and long-term bodyweight alteration. From 1998 to 2005 53 patients who had undergone subtotal esophagectomy due to thoracic esophageal cancers were given reconstruction with the colon (28 cases) or the jejunum (25 cases). Both intestines were reconstructed via the subcutaneous route and were anastomosed to the internal mammalian artery and vein for a supercharged blood supply. There was no difference in operating time and blood loss. Compared with the colon reconstruction group, the hospital stay of the jejunum reconstruction group was significantly shorter (65 days vs 45 days, P = 0.0120) and the incidence of anastomotic leakage tended to be less (13 cases, 46%vs 6 cases, 24%, P = 0.1507), while other operative morbidity did not differ between the two groups. Bodyweight loss, which is a serious postoperative sequela after esophagectomy, was less in the jejunum group than in the colon group, showing a significant difference at 12 months after surgery. Our retrospective study revealed the jejunum to be superior to the colon for the reconstruction after esophagectomy along with gastrectomy, with respect to anastomotic leakage and bodyweight loss. The next step will be to conduct a prospective large cohort study.

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Section: Discussionmentioning

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Long-term and short-term evaluation of esophageal reconstruction using the colon or the jejunum in esophageal cancer patients after gastrectomy

et al. 2008

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“…Studies in humans examining small intestinal transit and motility in patients subject to total gastrectomy [50,51,52] were reviewed as compared with a partial gastrectomy in the treatment of obesity. [37] The data suggested changes in small intestinal motility after a Roux-en-Y reconstruction.…”

Section: Small Intestinal Motility and Transit Timementioning

confidence: 99%

A mechanistic pharmacokinetic model to assess modified oral drug bioavailability post bariatric surgery in morbidly obese patients: interplay between CYP3A gut wall metabolism, permeability and dissolution

Darwich¹,

Pade

Ammori

et al. 2012

Journal of Pharmacy and Pharmacology

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“…A Roux‐en‐Y loop has also been performed in other anti‐reflux procedures 21, 22. The Roux‐en‐Y loop should be longer than 40 cm to divert the duodenal contents and biliary‐pancreatic secretions, to include more ectopic pacemakers and maintain a better isoperistaltic propulsion, and to prevent regurgitation into the reconstructed esophagus 23, 24. For these reasons, we chose a Roux‐en‐Y loop as an anti‐reflux procedure to replace the previous colon segment end‐to‐side anastomosis to a jejunum loop.…”

Section: Discussionmentioning

confidence: 99%

Combination of a free jejunal flap and a Roux‐en‐Y colojejunostomy for reconstruction of esophageal stricture secondary to a distant blast injury: A case report

Tang

Chen

et al. 2011

Microsurgery

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Pneumatic perforation of the esophagus caused by blast injury is very rare. Our patient presented with esophageal stricture in the context of a previous reconstruction of an esophageal rupture secondary to a distant air-blast injury. The ruptured esophagus was initially reconstructed with a left pedicled colon interposition in an antiperistaltic pattern. However, dysphagia developed 4 years later because of severe reflux-induced stenosis at the junction of the cervical esophagus and the left pedicled colon segment. A free isoperistaltic jejunal flap was performed to replace the cervical esophagus, with an anti-reflux Roux-en-Y colojejunostomy between the caudal segment of the left pedicled colon and the jejunum. The patient was discharged uneventfully 29 days later with smooth esophageal transit and no further reflux, as shown by scintigraphic scan. Esophageal reconstruction in an isoperistaltic pattern using a free isoperistaltic jejunal flap combined with an anti-reflux Roux-en-Y colojejunostomy has never been reported in the literature and appears to be an effective method to provide smooth passage of food and prevent restenosis of the esophagus.

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Esophageal and jejunal motor function after total gastrectomy and Roux-Y esophagojejunostomy

Cited by 10 publications

References 9 publications

Long-term and short-term evaluation of esophageal reconstruction using the colon or the jejunum in esophageal cancer patients after gastrectomy

Long-term and short-term evaluation of esophageal reconstruction using the colon or the jejunum in esophageal cancer patients after gastrectomy

A mechanistic pharmacokinetic model to assess modified oral drug bioavailability post bariatric surgery in morbidly obese patients: interplay between CYP3A gut wall metabolism, permeability and dissolution

Combination of a free jejunal flap and a Roux‐en‐Y colojejunostomy for reconstruction of esophageal stricture secondary to a distant blast injury: A case report

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