Knowledge (XXG)

Roux-en-Y anastomosis

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limb that anastomoses with the biliary system serves as the recipient for biliary secretions, which then travel through the excluded small bowel to the distal anastomosis at the mid jejunum to aid digestion. The altered anatomy can contribute to indigestion following surgery. The procedure has also
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van Wagensveld, B. A.; Coene, P. P. L. O.; van Gulik, T. M.; Rauws, E. A. J.; Obertop, H. & Gouma, D. J. (October 1997). "Outcome of palliative biliary and gastric bypass surgery for pancreatic head carcinoma in 126 patients".
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segment of stomach and the distal small bowel it joins with and (2) the blind end that is surgically divided off, and the lower part of the Y is formed by the
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Shokouh-Amiri H, Zakhary JM, Zibari GB (April 2011). "A novel technique of portal-endocrine and gastric-exocrine drainage in pancreatic transplantation".
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Roux-en-Y hepaticojejunostomy or choledochojejunostomy with gastrojejunostomy as palliation for irresectable
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Segura-Sampedro, JJ; Jiménez-Rodríguez, RM; Martos-Martínez, JM; Padillo-Ruiz, FJ (December 2012). "".
1025: 96: 1400: 1324: 1219: 1124: 1099: 1015: 1010: 954: 749: 894: 737: 257: 194:. Iron-deficiency anemia develops in up to 45% of people who have had a Roux-en-Y anastomosis. 1460: 1344: 1306: 1152: 1062: 884: 776: 717: 542: 506: 471: 437: 379: 309: 144: 436:
Lawrence PF. Essentials of general surgery. 3rd Ed. Lippincott Williams & Wilkins. 2000.
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or antegrade limb that serves as the primary recipient of food after the surgery, while the
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is not shown so that the Roux-en-Y can be clearly seen. The variant seen in this image is
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Björklund, P; Laurenius, A; Een, E; Olbers, T; Lönroth, H; Fändriks, L (2010).
335: 1448: 1390: 1367: 1134: 1002: 781: 759: 365: 268: 1245: 1048: 959: 949: 906: 836: 640: 350:"Is the Roux limb a determinant for meal size after gastric bypass surgery?" 288: 186: 176: 510: 475: 383: 546: 410: 397:
Longo, Dan L.; Camaschella, Clara (7 May 2015). "Iron-Deficiency Anemia".
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used to treat (macroscopic) bile duct obstruction which may arise due to:
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Roux-en-Ys are used in several operations and collectively called
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Roux-en-Y pancreas reconstruction after blunt abdominal trauma.
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Surgery to remove stomach cancer. cancerhelp.org.uk. URL:
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Typically, the two upper limbs of the Y represent (1) the
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http://www.cancerhelp.org.uk/help/default.asp?page=3917
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Roux-en-Y reconstruction following partial or complete
143:, the Roux-en-Y anastomosis looks a little like the 1473: 1441: 1409: 1366: 1357: 1315: 1240: 1178: 1169: 1133: 1039: 1001: 973: 935: 875: 866: 827: 692: 635: 626: 617: 62: 21: 330: 328: 326: 49:, because the distal small bowel that joins the 190:been associated with an increased incidence of 1225:Transjugular intrahepatic portosystemic shunt 585: 8: 336:http://www.whonamedit.com/synd.cfm/3724.html 456:Journal of the American College of Surgeons 1363: 1175: 872: 632: 623: 592: 578: 570: 27: 373: 1031:Transanal hemorrhoidal dearterialization 1188:Artificial extracorporeal liver support 322: 198:Operations that make use of a Roux-en-Y 18: 7: 743:Vertical banded gastroplasty surgery 161:small bowel beyond the anastomosis. 792:Percutaneous endoscopic gastrostomy 600:Tests and procedures involving the 69: 1230:Distal splenorenal shunt procedure 14: 468:10.1016/j.jamcollsurg.2010.12.045 171:When describing the surgery, the 57:the transverse colon and stomach. 539:10.1111/j.1365-2168.1997.02799.x 427:. Accessed on: February 7, 2008. 338:. Accessed on: February 7, 2008. 334:Roux operation. whonamedit.com. 278:an infection/inflammation (e.g. 1021:Lateral internal sphincterotomy 399:New England Journal of Medicine 728:Endoscopic sleeve gastroplasty 679:Functional Lumen Imaging Probe 462:(4): 730–8, discussion 738–9. 1: 1110:Lower gastrointestinal series 854:Upper gastrointestinal series 302:Roux-en-Y pancreas transplant 297:Roux-en-Y hepaticojejunostomy 127:The name is derived from the 1376:Diagnostic peritoneal lavage 1095:Double-contrast barium enema 922:Partial ileal bypass surgery 799:Esophagogastric dissociation 503:10.1016/j.ciresp.2011.07.018 107:. Typically, it is between 1193:Bioartificial liver devices 1120:Transrectal ultrasonography 1555: 1115:Small-bowel follow-through 983:Abdominoperineal resection 842:Esophagogastroduodenoscopy 527:British Journal of Surgery 1475:Clinical prediction rules 1381:Intraperitoneal injection 1085:Abdominal ultrasonography 993:Total mesorectal excision 912:Intestine transplantation 702:Sengstaken–Blakemore tube 684:High resolution manometry 674:Esophageal motility study 608: 366:10.1007/s11695-010-0192-1 263:a bile duct injury (e.g. 70: 26: 1529:Digestive system surgery 1330:Pancreas transplantation 988:Lower anterior resection 669:Esophageal pH monitoring 611:Digestive system surgery 566:– thefreedictionary.com. 131:who first described it ( 111:and small bowel that is 103:used to reconstruct the 47:retrocolic, retrogastric 1424:Inguinal hernia surgery 1340:Pancreaticoduodenectomy 723:Adjustable gastric band 664:Impedance–pH monitoring 1454:Exploratory laparotomy 1269:Hepatoportoenterostomy 733:Gastric bypass surgery 602:human digestive system 310:pancreatic head cancer 192:iron-deficiency anemia 117:gastrointestinal tract 105:gastrointestinal tract 53:segment of stomach is 1429:Femoral hernia repair 1215:Liver transplantation 809:Nissen fundoplication 411:10.1056/NEJMra1401038 289:choledochojejunostomy 280:pancreatic pseudocyst 216:nissen fundoplication 115:(or further down the 89:Roux-en-Y anastomosis 39:Roux-en-Y anastomosis 22:Roux-en-Y anastomosis 1026:Rubber band ligation 965:Hartmann's operation 119:) from the cut end. 97:surgical anastomosis 95:, is an end-to-side 1401:Peritoneal dialysis 1220:Portal hypertension 1125:Virtual colonoscopy 1100:Endoanal ultrasound 1016:Anorectal manometry 1011:Anal sphincterotomy 955:Colonic polypectomy 750:Collis gastroplasty 256:(e.g. resection of 895:Jejunoileal bypass 738:Sleeve gastrectomy 258:cholangiocarcinoma 1516: 1515: 1461:Rapid urease test 1437: 1436: 1353: 1352: 1345:Puestow procedure 1307:Cholescintigraphy 1165: 1164: 1161: 1160: 1153:Stool guaiac test 1063:Capsule endoscopy 885:Bariatric surgery 862: 861: 777:Gastroenterostomy 718:Bariatric surgery 533:(10): 1402–1406. 405:(19): 1832–1843. 81: 80: 1546: 1498:Child–Pugh score 1465:Urea breath test 1364: 1325:Frey's procedure 1302:Cholecystography 1176: 873: 708:Nasogastric tube 633: 624: 594: 587: 580: 571: 551: 550: 521: 515: 514: 491:Cirugia Espanola 486: 480: 479: 451: 445: 434: 428: 421: 415: 414: 394: 388: 387: 377: 345: 339: 332: 247:common bile duct 214:Multiple failed 205:gastric bypasses 141:Diagrammatically 139:representation. 74:edit on Wikidata 43:transverse colon 31: 19: 1554: 1553: 1549: 1548: 1547: 1545: 1544: 1543: 1534:General surgery 1519: 1518: 1517: 1512: 1503:Ranson criteria 1469: 1433: 1405: 1349: 1311: 1280:Cholangiography 1276:Medical imaging 1259:Cholecystostomy 1254:Cholecystectomy 1236: 1157: 1129: 1041:Medical imaging 1035: 997: 969: 931: 927:Strictureplasty 902:Bowel resection 890:Duodenal switch 858: 829:Medical imaging 823: 688: 619:Digestive tract 613: 604: 598: 560: 555: 554: 523: 522: 518: 488: 487: 483: 453: 452: 448: 435: 431: 422: 418: 396: 395: 391: 360:(10): 1408–14. 354:Obesity Surgery 347: 346: 342: 333: 324: 319: 265:cholecystectomy 200: 166:Roux operations 125: 85:general surgery 77: 58: 17: 16:Type of surgery 12: 11: 5: 1552: 1550: 1542: 1541: 1536: 1531: 1521: 1520: 1514: 1513: 1511: 1510: 1508:Milan criteria 1505: 1500: 1495: 1490: 1485: 1479: 1477: 1471: 1470: 1468: 1467: 1458: 1457: 1456: 1445: 1443: 1439: 1438: 1435: 1434: 1432: 1431: 1426: 1421: 1415: 1413: 1407: 1406: 1404: 1403: 1398: 1393: 1388: 1383: 1378: 1372: 1370: 1361: 1359:Abdominopelvic 1355: 1354: 1351: 1350: 1348: 1347: 1342: 1337: 1335:Pancreatectomy 1332: 1327: 1321: 1319: 1313: 1312: 1310: 1309: 1304: 1299: 1298: 1297: 1292: 1287: 1272: 1271: 1266: 1261: 1256: 1250: 1248: 1238: 1237: 1235: 1234: 1233: 1232: 1227: 1217: 1212: 1207: 1202: 1201: 1200: 1198:Liver dialysis 1195: 1184: 1182: 1173: 1167: 1166: 1163: 1162: 1159: 1158: 1156: 1155: 1150: 1145: 1143:Fecal fat test 1139: 1137: 1131: 1130: 1128: 1127: 1122: 1117: 1112: 1107: 1102: 1097: 1092: 1087: 1081: 1080: 1075: 1070: 1065: 1060: 1055: 1045: 1043: 1037: 1036: 1034: 1033: 1028: 1023: 1018: 1013: 1007: 1005: 999: 998: 996: 995: 990: 985: 979: 977: 971: 970: 968: 967: 962: 957: 952: 947: 941: 939: 933: 932: 930: 929: 924: 919: 914: 909: 904: 899: 898: 897: 892: 881: 879: 870: 868:Lower GI tract 864: 863: 860: 859: 857: 856: 851: 849:Barium swallow 846: 845: 844: 833: 831: 825: 824: 822: 821: 819:Schilling test 816: 811: 806: 801: 796: 795: 794: 784: 779: 774: 773: 772: 767: 762: 752: 747: 746: 745: 740: 735: 730: 725: 715: 713:Gastric lavage 710: 705: 698: 696: 690: 689: 687: 686: 681: 676: 671: 666: 661: 656: 654:Heller myotomy 651: 645: 643: 630: 628:Upper GI tract 621: 615: 614: 609: 606: 605: 599: 597: 596: 589: 582: 574: 568: 567: 559: 558:External links 556: 553: 552: 516: 481: 446: 429: 416: 389: 340: 321: 320: 318: 315: 314: 313: 306: 303: 300: 285: 284: 283: 276: 261: 230: 227:stomach cancer 219: 212: 199: 196: 124: 121: 79: 78: 71: 68: 67: 64: 60: 59: 35:gastric bypass 32: 24: 23: 15: 13: 10: 9: 6: 4: 3: 2: 1551: 1540: 1537: 1535: 1532: 1530: 1527: 1526: 1524: 1509: 1506: 1504: 1501: 1499: 1496: 1494: 1491: 1489: 1486: 1484: 1481: 1480: 1478: 1476: 1472: 1466: 1462: 1459: 1455: 1452: 1451: 1450: 1447: 1446: 1444: 1440: 1430: 1427: 1425: 1422: 1420: 1419:Hernia repair 1417: 1416: 1414: 1412: 1408: 1402: 1399: 1397: 1394: 1392: 1389: 1387: 1384: 1382: 1379: 1377: 1374: 1373: 1371: 1369: 1365: 1362: 1360: 1356: 1346: 1343: 1341: 1338: 1336: 1333: 1331: 1328: 1326: 1323: 1322: 1320: 1318: 1314: 1308: 1305: 1303: 1300: 1296: 1293: 1291: 1288: 1286: 1283: 1282: 1281: 1277: 1274: 1273: 1270: 1267: 1265: 1262: 1260: 1257: 1255: 1252: 1251: 1249: 1247: 1243: 1239: 1231: 1228: 1226: 1223: 1222: 1221: 1218: 1216: 1213: 1211: 1208: 1206: 1203: 1199: 1196: 1194: 1191: 1190: 1189: 1186: 1185: 1183: 1181: 1177: 1174: 1172: 1168: 1154: 1151: 1149: 1148:Fecal pH test 1146: 1144: 1141: 1140: 1138: 1136: 1132: 1126: 1123: 1121: 1118: 1116: 1113: 1111: 1108: 1106: 1103: 1101: 1098: 1096: 1093: 1091: 1088: 1086: 1083: 1082: 1079: 1078:Sigmoidoscopy 1076: 1074: 1071: 1069: 1066: 1064: 1061: 1059: 1056: 1054: 1050: 1047: 1046: 1044: 1042: 1038: 1032: 1029: 1027: 1024: 1022: 1019: 1017: 1014: 1012: 1009: 1008: 1006: 1004: 1000: 994: 991: 989: 986: 984: 981: 980: 978: 976: 972: 966: 963: 961: 958: 956: 953: 951: 948: 946: 943: 942: 940: 938: 934: 928: 925: 923: 920: 918: 915: 913: 910: 908: 905: 903: 900: 896: 893: 891: 888: 887: 886: 883: 882: 880: 878: 874: 871: 869: 865: 855: 852: 850: 847: 843: 840: 839: 838: 835: 834: 832: 830: 826: 820: 817: 815: 814:Pyloromyotomy 812: 810: 807: 805: 802: 800: 797: 793: 790: 789: 788: 785: 783: 780: 778: 775: 771: 768: 766: 763: 761: 758: 757: 756: 753: 751: 748: 744: 741: 739: 736: 734: 731: 729: 726: 724: 721: 720: 719: 716: 714: 711: 709: 706: 703: 700: 699: 697: 695: 691: 685: 682: 680: 677: 675: 672: 670: 667: 665: 662: 660: 657: 655: 652: 650: 649:Esophagectomy 647: 646: 644: 642: 638: 634: 631: 629: 625: 622: 620: 616: 612: 607: 603: 595: 590: 588: 583: 581: 576: 575: 572: 565: 562: 561: 557: 548: 544: 540: 536: 532: 528: 520: 517: 512: 508: 504: 500: 496: 492: 485: 482: 477: 473: 469: 465: 461: 457: 450: 447: 443: 442:0-683-30133-0 439: 433: 430: 426: 420: 417: 412: 408: 404: 400: 393: 390: 385: 381: 376: 371: 367: 363: 359: 355: 351: 344: 341: 337: 331: 329: 327: 323: 316: 311: 307: 304: 301: 298: 294: 290: 286: 281: 277: 274: 270: 266: 262: 259: 255: 252: 248: 244: 243: 241: 238: 235: 231: 228: 224: 220: 217: 213: 210: 206: 202: 201: 197: 195: 193: 188: 184: 183: 182:hepatobiliary 178: 174: 169: 167: 162: 160: 156: 151: 149: 146: 142: 138: 134: 130: 122: 120: 118: 114: 110: 106: 102: 98: 94: 90: 86: 75: 65: 61: 56: 52: 48: 44: 40: 36: 33:Schematic of 30: 25: 20: 1396:Paracentesis 1210:Liver biopsy 1105:Enteroclysis 1090:Defecography 945:Appendectomy 769: 530: 526: 519: 494: 490: 484: 459: 455: 449: 432: 419: 402: 398: 392: 357: 353: 343: 296: 251:hepatic duct 180: 172: 170: 165: 163: 152: 137:stick-figure 126: 92: 88: 82: 54: 46: 38: 1386:Laparoscopy 1242:Gallbladder 1205:Hepatectomy 1135:Stool tests 1073:Proctoscopy 1068:Enteroscopy 1053:Colonoscopy 937:Large bowel 917:Jejunostomy 877:Small bowel 804:Hill repair 787:Gastrostomy 765:Billroth II 755:Gastrectomy 659:Sialography 564:Anastomoses 497:(10): e39. 293:indications 223:gastrectomy 63:Other names 1523:Categories 1449:Laparotomy 1391:Omentopexy 1368:Peritoneum 1003:Anal canal 782:Gastropexy 760:Billroth I 317:References 287:Roux-en-Y 269:iatrogenic 249:tumour or 232:Roux-en-Y 218:surgeries. 135:) and the 133:CĂ©sar Roux 1246:bile duct 1171:Accessory 1049:Endoscopy 960:Colostomy 950:Colectomy 907:Ileostomy 837:Endoscopy 770:Roux-en-Y 641:Esophagus 173:Roux limb 93:Roux-en-Y 66:Roux-en-Y 1317:Pancreas 1058:Anoscopy 511:22257412 476:21463823 384:20517654 295:same as 234:hepatico 187:afferent 177:efferent 155:proximal 123:Overview 51:proximal 37:using a 1539:Stomach 694:Stomach 547:9361599 375:2941084 209:obesity 175:is the 129:surgeon 109:stomach 41:. The 1411:Hernia 975:Rectum 545:  509:  474:  440:  382:  372:  273:trauma 254:tumour 237:jejuno 159:distal 145:letter 113:distal 55:behind 1493:UKELD 1442:Other 1180:Liver 240:stomy 203:Some 101:bowel 91:, or 72:[ 1488:PELD 1483:MELD 1290:MRCP 1264:ERCP 543:PMID 507:PMID 472:PMID 438:ISBN 380:PMID 225:for 207:for 87:, a 1295:PTC 637:SGs 535:doi 499:doi 464:doi 460:212 407:doi 403:372 370:PMC 362:doi 185:or 99:of 83:In 1525:: 1463:/ 1285:IV 1278:: 1244:, 1051:: 639:/ 541:. 531:84 529:. 505:. 495:90 493:. 470:. 458:. 401:. 378:. 368:. 358:20 356:. 352:. 325:^ 291:– 271:, 267:, 245:a 168:. 150:. 704:) 593:e 586:t 579:v 549:. 537:: 513:. 501:: 478:. 466:: 444:. 413:. 409:: 386:. 364:: 312:. 299:. 282:) 275:) 260:) 229:. 211:. 148:Y 76:]

Index


gastric bypass
transverse colon
proximal
edit on Wikidata
general surgery
surgical anastomosis
bowel
gastrointestinal tract
stomach
distal
gastrointestinal tract
surgeon
CĂ©sar Roux
stick-figure
Diagrammatically
letter
Y
proximal
distal
efferent
hepatobiliary
afferent
iron-deficiency anemia
gastric bypasses
obesity
nissen fundoplication
gastrectomy
stomach cancer
hepatico

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