RNY Abdominal Pain

The Roux stasis syndrome, a syndrome of nausea, vomiting, abdominal pain, and postprandial fullness that follows Roux-en-Y gastrojejunostomy, is thought to result from the jejunal transection performed during the construction of a conventional Roux limb.

Cutting the bowel in half to make the Roux-en-Y results in alterations in myoelectric activity that cause a delay in gastric emptying following Roux-en-Y gastrojejunostomy.

Alteration of the Roux Stasis syndrome by an isolated Roux limb: correlation of slow waves and clinical course.

Am Surg 1999 Jul;65(7):666-72 Related Articles, Books

Zonca S, Rizzo P

St. John Hospital and Medical Center, Detroit, Michigan, USA.

Am J Surg 1995 Oct;170(4):381-6 Related Articles, Books, LinkOut

Elimination of the Roux stasis syndrome using a new type of "uncut Roux" limb.

Tu BN, Kelly KA

Department of Surgery, Mayo Clinic, Scottsdale, Arizona 85259, USA.

J Gastrointest Surg 1997 Nov;1(6):545-553 Related Articles, Books

Use of an Ileal Roux Limb to Prevent the Roux Stasis Syndrome.

Takahashi M, Tu BLN, Leombruni E, Kelly KA

Department of Surgery, Mayo Clinic Scottsdale, Scottsdale, Ariz.

[Record supplied by publisher]

The aim of this study was to determine whether the use of an ileal Roux limb, rather than a jejunal Roux limb, would prevent the Roux stasis syndrome that can occur after Roux gastrectomy. An ileal Roux limb was constructed in eight dogs and anastomosed to the gastric remnant after distal hemigastrectomy. Flow of chyme through the jejunum was preserved via an ileojejunostomy and a jejunoileostomy. Six dogs with distal gastrectomy and a conventional Roux gastrojejunostomy served as a control group. Chronic enteric recording electrodes and intraluminal, open-tipped pressure catheters were implanted in all dogs. After recovery, the electrical activity and motility of the Roux limbs and the rates of gastric emptying of liquids and solids were measured. Dogs with a Roux gastroileostomy had a slower frequency of pacesetter potentials in the Roux limb, a greater Roux motility index, and a faster rate of gastric emptying of liquids and solids than did dogs with a Roux gastrojejunostomy. Stomal ulcers, however, developed in seven of the eight ileal Roux limbs but in none of the jejunal Roux limbs. It was concluded that Roux gastroileostomy does ameliorate the Roux stasis syndrome, but there is a greater risk of stomal ulceration in the limb.

J Surg Res 1990 Nov;49(5):385-9 Related Articles, Books

Gastric emptying and myoelectric activity following Roux-en-Y gastrojejunostomy.

Harrison WD, Hocking MP, Vogel SB

Department of Surgery, University of Florida College of Medicine, Gainesville 32610.

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