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Name | Comparison of clinical outcome and post operative complications in Roux-en-Y anastomosis and Loop jejunostomy in upper GI surgeries – a pilot study |
Description | Original research:-General Surgery Yogesh Kumar1,Basavaraj G.Veerapur2,Sunil Kumar Math3 & YP Raghavendra Babu4* 1Professor, Department of General Surgery,2Assistant Professor, Department of General Surgery,3Postgraduate, Department of General Surgery,4Associate Professor, Department of Forensic Medicine and Toxicology, Kasturba Medical College (A Constituent College of Manipal University), Mangalore, India.
Abstract:- Background:Studies on the clinical outcome & biochemical alterations in the postoperative follow-up period in cases with Roux-en-Y jejunostomy compared with loop jejunostomy cases in upper GI surgeries are not many. Materials & Methods: In this observational study, a total of 28 cases undergoing upper GI Surgeries with eitherRoux-en-Y jejunostomy orloop jejunostomy method were included. Jejunal loop anastomosis or Roux en Y jejunal anastomosis was used as per the indications for case. During the follow up clinical evaluation, biochemical analysis, quality of life was obtained. Results: There was one mortality and four patients had significant morbidity. The average follow-up period was 16 months (range 3months – 16 months). Patients with Roux-en -Y anastomosis were significantly asymptomatic and had greater Visick I grading than patients with loop jejunal anastomosis. Clinical outcomes & quality of life was better in Roux-en-Y group. Biochemical analysis showed loop anastomosis group had significant post operative hypokalemia, hypoproteinemia with longer hospital stay. Conclusion: This pilot study showed that Roux-en-Y anastomosis is significantly better than jejunal loop anastomosis in upper GI surgeries with the subjective and biochemical analysis under evaluation. However further studies is required to confirm the findings. Keywords:- Roux-en-Y; Jejunostomy; GI surgery; loop jejunostomy.
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Copyright © 2013 YP Raghavendra Babu et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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