Frequency of Roux Stasis Syndrome is Different in Uncut or Conventionel Roux-Y Procedures

Authors : Semra Tutcu Şahin, Semra Salimoğlu, Mustafa Tireli

Pages : 715-720

Doi:10.53424/balikesirsbd.1527770

View : 14 | Download : 10

Publication Date : 2024-12-25

Article Type : Research Paper

Abstract :Objective: One of the main problems of conventional Roux-Y (C-RY) procedures is Roux stasis syndrome. To avoid this problem, an alternative technique called Uncut Roux-Y (U-RY) has been proposed in the literature. The aim of this article is to present the results of our patients who underwent C-RY and U-RY and to compare the incidence of Roux stasis between these two methods. Materials and Methods: The medical records of all patients who underwent C-RY and U-RY procedures at Manisa Celal Bayar University Department of General Surgery and Tepecik Teaching Hospital General Surgery Clinic between January 1989 and January 2018 were retrospectively reviewed. The incidence of Roux stasis in both procedures was investigated. Results: A total of 64 C-RY and 42 U-RY anastomoses were performed in 106 patients. Of the 64 C-RYs, 17 were performed for gastric cancer, 17 for bilienteric diversion, 25 for alkaline reflux gastritis and 5 for pancreatic pseudocyst. Of the 42 U-RYs, 18 were performed for gastric cancer, 18 for biliaryenteric diversion, 4 for alkaline reflux gastritis and 2 for pancreatic pseudocyst. A total of 38 complications occurred in 28 patients in the postoperative period. Roux stasis developed in 7 patients (14.1%) who underwent C-RY and 2 patients (4.8%) who underwent U-RY. There was no statistically significant difference in the development of Roux stasis between these two methods (p>0.05). Conclusion: The incidence of Roux stasis is lower in U-RY anastomosis compared to C-RY anastomosis. U-RY operation may be an effective method to prevent both duodenogastric reflux and roux stasis, especially in patients undergoing gastroenterostomy via omega loop. In addition, surgically, the U-RY technique is easier to perform than the C-RY technique. Therefore, U-RY operation is one of the techniques that can be preferred in laparoscopic or open gastroesophageal and biliary surgery.
Keywords : Roux-Y Staz Sendromu, Kesilmemiş Roux-Y Prosedürü, Konvansiyonel Roux-Y Ans.