Sardiñas C, Gattorno F
Cátedra de Clinica y Terapéutica Quirúrgica D, Cirugía IV, Hospital Universitario de Caracas Universidad Central de Venezuela, Caracas, Venezuela.
Ann Ital Chir. 1998 Jan-Feb;69(1):41-6; discussion 46-7.
Ten patients with benign gastric or duodenal disorders were consecutively included in the protocol evaluation of gastric emptying after the "uncut" Roux en Y to prevent the Roux en Y syndrome. There were no clinical complications. Its performance was not more complex from a technical viewpoint, and its morbility could be less that in other procedures. There are 2 important objections to the development of this procedure. First, the gastric emptying study shows no difference with the traditional Roux en Y emptying. And second, a definitive closure of the afferent fold is not achieved with the non-cutting linear stapling, the endoscopic control 6 months after surgery showing repermeation of the fold in 80% of the patients. The use of the technique was brought to a halt for its results were outside the standards of the protocol.
为预防Roux-en-Y综合征，十例患有良性胃或十二指肠疾病的患者被连续纳入“非切断式”Roux-en-Y术后胃排空的方案评估中。未出现临床并发症。从技术角度来看，其操作并不更复杂，且发病率可能低于其他手术。该手术的发展存在两个重要问题。第一，胃排空研究显示其与传统Roux-en-Y排空无差异。第二，使用非切割线性吻合器无法实现输入襻的最终闭合，术后6个月的内镜检查显示80%的患者襻部再通。由于结果不符合方案标准，该技术的使用已停止。
