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August 1983

Technical Complications of Roux-en-Y Gastrojejunostomy

Author Affiliations

From the Department of Surgery, University of Kentucky College of Medicine, Lexington (Drs Powell, Bell, and Griffen), and the Department of Surgery, Henry Ford Hospital, Detroit (Dr Bivins).

Arch Surg. 1983;118(8):922-925. doi:10.1001/archsurg.1983.01390080030009

• 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)