Intestinal transit of food after total gastrectomy and Roux-Y esophagojejunostomy

Carlos A. Pellegrini, Clifford Deveney, Marco G. Patti, Mark Lewin, Lawrence W. Way

Research output: Contribution to journalArticle

60 Citations (Scopus)

Abstract

We examined small bowel transit of solid food in 10 patients 3 to 30 months after total gastrectomy and Roux-Y esophagojejunostomy and compared the transit pattern with that in five control subjects. All persons ate a test meal consisting of 213 g of beef stew mixed with 30 g of chicken liver which was labeled with 1 mCi of technetium 99m sulfur colloid, and they stood in front of a gamma scintillation camera and were studied for 6 to 10 hours. Solid food passed rapidly from the esophagus through the Roux-Y limb and became uniformly distributed throughout a long segment of the small intestine. Mouth-to-colon transit time was 223 ± 18 minutes in the control subjects and 298 ± 37 minutes in the patients with gastrectomy. Small bowel transit of the head of the meal was 187 ± 19 minutes in the control subjects and 293 ± 37 minutes in the patients (p <0.02). Transit time of the tail of the meal was 175 ± 26 minutes in the control subjects and 396 ± 28 minutes in the patients (p <0.001). After total gastrectomy and Roux-Y esophagojejunostomy, the proximal jejunum does not act as a reservoir; transit of food through the small intestine is slower than in control subjects, and because the proximal jejunum empties rapidly during eating, a meal of normal size can be consumed. These findings do not support the idea that an artificial gastric reservoir is important after total gastrectomy.

Original languageEnglish (US)
Pages (from-to)117-125
Number of pages9
JournalThe American Journal of Surgery
Volume151
Issue number1
DOIs
StatePublished - 1986
Externally publishedYes

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Gastrectomy
Meals
Food
Gamma Cameras
Jejunum
Small Intestine
Technetium Tc 99m Sulfur Colloid
Technetium
Esophagus
Mouth
Tail
Chickens
Stomach
Colon
Extremities
Eating
Head
Liver

ASJC Scopus subject areas

  • Surgery

Cite this

Intestinal transit of food after total gastrectomy and Roux-Y esophagojejunostomy. / Pellegrini, Carlos A.; Deveney, Clifford; Patti, Marco G.; Lewin, Mark; Way, Lawrence W.

In: The American Journal of Surgery, Vol. 151, No. 1, 1986, p. 117-125.

Research output: Contribution to journalArticle

Pellegrini, Carlos A. ; Deveney, Clifford ; Patti, Marco G. ; Lewin, Mark ; Way, Lawrence W. / Intestinal transit of food after total gastrectomy and Roux-Y esophagojejunostomy. In: The American Journal of Surgery. 1986 ; Vol. 151, No. 1. pp. 117-125.
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