MANOMETRIC EVALUATION OF JEJUNAL LIMB AFTER TOTAL GASTRECTOMY AND ROUX-ORR ANASTOMOSIS FOR GASTRIC-CANCER

被引：16

作者：

BASSOTTI, G

GULLA, P

BETTI, C

WHITEHEAD, WE

MORELLI, A

机构：

[1] UNIV PERUGIA, IST CLIN MED GEN & TERAPIA MED 1, CATTEDRA GASTROENTEROL, I-06100 PERUGIA, ITALY

[2] OSPED CALAI, DIV CHIRURG GEN, GUALDO TADINO, ITALY

[3] JOHNS HOPKINS UNIV, FRANCIS SCOTT KEY MED CTR, GASTROINTESTINAL PSYCHOPHYSIOL LAB, BALTIMORE, MD 21218 USA

来源：

BRITISH JOURNAL OF SURGERY | 1990年 / 77卷 / 09期

关键词：

Gastrectomy; intestinal; manometry; motility;

D O I：

10.1002/bjs.1800770924

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Total gastrectomy with Roux‐Orr anastomosis is frequently performed for gastric cancer. Since intestinal motility of the Roux limb has never been evaluated after this operation, pressure activity was investigated in the Roux limb of ten patients (aged 51–77 years) who had undergone total gastrectomy and Roux‐Orr reconstruction. Investigations were carried out during a 6‐h fast and 3 h after a 605 kcal mixed meal. During fasting only two patients had activity fronts and these were abnormal. All ten patients displayed non‐propagating bursts of contractions and three had discrete clustered contractions and high amplitude jejunal contractions. The fed state was characterized by a severely reduced motor activity pattern and other abnormalities. Total gastrectomy with Roux‐Orr anastomoses provokes a relatively severe disturbance in intestinal activity. Copyright © 1990 British Journal of Surgery Society Ltd.

引用

页码：1025 / 1029

页数：5

共 37 条

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