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Surgical Management: Roux-en-Y Reconstruction

  • Leonard K. WelshJr.
  • Kenric M. MurayamaEmail author
Chapter

Abstract

Peptic ulcer disease was once the most common indication for gastric surgery until the development and use of antisecretory medications. Reconstruction of the stomach is necessary following partial gastrectomy for ulcerative disease to re-establish gastrointestinal continuity. The choice of reconstruction largely depends on the remnant anatomy and surgeon preference. Historically, Billroth I and Billroth II reconstructions have been used, and since the late 19th century, the Roux-en-Y operation has become increasingly more common with well-defined applications and effectiveness and proven success in preventing reflux and feasibility in laparoscopy. Limitations including leaks, internal hernias, and Roux stasis syndrome have been reported, often with severe implications. The operation remains a staple in the armamentarium of surgeons around the world and commonplace due its application in bariatric surgery.

Keywords

Gastrectomy Reconstruction Peptic ulcer disease Roux-en-Y Billroth conversion Bile reflux 

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Copyright information

© SAGES 2019

Authors and Affiliations

  1. 1.Department of SurgeryUniversity of Hawaii John A. Burns School of MedicineHonoluluUSA

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