Standard Roux-en-Y gastrojejunostomy vs. "uncut" Roux-en-Y gastrojejunostomy: A matched cohort study

Roux-en-Y gastrojejunostomy is a common method of reconstruction after subt otal gastrectomy. Maintaining myoneural continuity has been proposed to dec rease the incidence of Roux stasis syndrome, With an "uncut" Roux-en-Y reco nstruction. The aim of our study was to compare the clinical results in pat ients who have undergone uncut Roux-en-Y gastrojejunostomy with those in pa tients who have undergone a standard Roux-en-Y gastrojejunostomy Eleven pat ients underwent gastrectomy and uncut: Roux-en-Y gastrojejunostomy and were compared with a cohort of 14 patients who underwent gastrectomy and standa rd Roux-en-Y gastrojejunostomy. Patients were contacted and charts were rev iewed fur Visick grade, early and late morbidity and mortality, and inciden ce of staple line dehiscence. Early postoperative morbidity was 18% in pati ents undergoing uncut Roux gastrojejunostomy and 28% in patients undergoing standard Roux reconstruction. There were no early postoperative deaths in either group. In the patients undergoing the uncut Roux procedure, no cases of staple line dehiscence were detected clinically (mean follow-up 9 month s, range 1 to 48 months). Visick grade improved following the uncut Roux pr ocedure, but changed little after standard Roux reconstruction. Uncut Roux- en-Y gastrojejunostomy can be performed safely with improvement in symptoms . The uncut Roux procedure may provide an alternative for reconstructive ga stric surgery.