Powell D C, Bivins B A, Bell R M, Griffen W O
Arch Surg. 1983 Aug;118(8):922-5. 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.
自被认为可避免毕罗Ⅱ式胃空肠吻合术的许多典型并发症以来，Roux-en-Y胃空肠吻合术已成为一种越来越受欢迎的胃肠道重建技术。在对900多例Roux-en-Y胃空肠吻合术的回顾中，发现有7例患者出现了类似毕罗Ⅱ式重建所见的并发症。这些并发症包括十二指肠残端破裂、近端盲袢或输入袢综合征以及胆汁反流性胃炎。这些并发症是由Roux-en-Y构建中的技术问题导致的。一旦诊断出并发症，它们都适合手术矫正。认识到Roux-en-Y胃空肠吻合术后出现这些并发症的可能性应有助于早期诊断和治疗。
