The routine use of Roux-en-Y anastomosis in gastric surgery.

摘要: In the Surgical Clinic of University Munster Billroth II resection with Roux-en-Y gastroenterostomy was introduced 1974--with a specific modification-- and has now been performed in every case where primary or additional resections stomach were indicated. The main advantage is seen tensionless gastroenteral anastomosis even cases high resection. ulcer surgery, method permits to remove safely gastrin-producing parts stomach, reduce mass acid-producing parietal cells. At same time it possible avoid duodeno-gastric reflux which held responsible for promoting carcinomas gastric remnant. use Roux loop guarantees reflux-free provides an effective prophylaxis stump carcinoma. After this type operation bile never on endoscopy.