Prophylaxis and treatment of complications after resection of the stomach with Roux anastomosis]

One hundred and seventy-eight subtotal distal resections of the stomach with creation of the valve in an outflowing part of the small intestine were analyzed. There was no postoperative lethality due to the method of surgery. One (0.6%) patient died on day 18 after surgery for acute cardiac insufficiency. General surgery complications were seen in 3 (1.7%) cases. In 2 (1.1%) patients Roux syndrome developed, it was treated conservatively on day 12 - 18. Repair of tonisity, peristalsis of the gastric stump and diverting intestinal loop was registered late after surgery. Mild forms of damping-syndrome were diagnosed in 2.8% cases, superficial gastritis of the gastric stump -- in 33.3%, atrophic gastritis -- in 11.1%. The intestinal valve provided physiological evacuation and impeded reflux into the gastric stump.