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Comparison of clinical outcome and post operative complications in Roux-en-Y anastomosis and Loop jejunostomy in upper GI surgeries – a pilot study

*, Yogesh Kumar and Veerapur, Basavaraj G. and Math, Sunil Kumar and *, YP Raghavendra Babu (2013) Comparison of clinical outcome and post operative complications in Roux-en-Y anastomosis and Loop jejunostomy in upper GI surgeries – a pilot study. Journal of pharmaceutical and biomedical sciences, 28 (28). pp. 646-649. ISSN 2230 – 7885

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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.

Item Type: Article
Uncontrolled Keywords: Roux-en-Y; Jejunostomy; GI surgery; loop jejunostomy.
Subjects: Medicine > KMC Mangalore > Surgery
Medicine > KMC Mangalore > Community Medicine
Depositing User: KMCMLR User
Date Deposited: 05 Apr 2013 10:16
Last Modified: 05 Apr 2013 10:16
URI: http://eprints.manipal.edu/id/eprint/79509

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