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Technical Complications of Roux-en-Y Gastrojejunostomy

David C. Powell, MD; Brack A. Bivins, MD; Richard M. Bell, MD; Ward O. Griffen Jr, MD, PhD
Arch Surg. 1983;118(8):922-925. doi:10.1001/archsurg.1983.01390080030009.
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• The Roux-en-Y gastrojejunostomy has become an increasingly popular technique for gastrointestinal tract reconstruction since it is purported to obviate many of the classic complications of the Billroth II gastrojejunostomy. In a review of over 900 Roux-en-Y gastrojejunostomies, seven patients with complications mimicking those seen with Billroth II reconstruction were identified. These complications included duodenal stump blowout, proximal blind loop or afferent loop syndrome, and bile-reflux gastritis. These complications resulted from technical problems in construction of the Roux-en-Y. Once the complications were diagnosed, they were amenable to operative correction. Recognition of the potential for these complications following Roux-en-Y gastrojejunostomy should aid in early diagnosis and treatment.

(Arch Surg 1983;118:922-925)


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