Roux-en-Y jejunostomy in gastroparesis:Insight into patient perspectives and outcomes  

作　　者：Omar Salehi Wei-Lun Gao Christian Kenfield Geoff Hebbard 

机构地区：[1]Department of Gastroenterology and Hepatology,Royal Melbourne Hospital,Parkville 3052,Victoria,Australia [2]Department of General Surgery,Melbourne Private Hospital,Parkville 3052,Victoria,Australia

出　　处：《World Journal of Gastrointestinal Surgery》2025年第3期106-115,共10页世界胃肠外科杂志(英文)

摘　　要：BACKGROUND Gastroparesis is a chronic motility disorder characterized by delayed gastric emptying in the absence of mechanical obstruction.Patients with refractory gastroparesis often require enteral nutrition support,but traditional feeding methods such as nasojejunal tubes and percutaneous gastrojejunostomy tubes have significant limitations including frequent displacement,infection,and impact on quality of life.AIM To explore patients’experience post insertion of laparoscopic Roux-en-Y jejunostomy in a cohort of eight adult patients with idiopathic gastroparesis.METHODS Eight patients with idiopathic gastroparesis who underwent Roux-en-Y jejunostomy placement between 2019-2022 were interviewed about their pre-and post-procedure experiences.The procedure involves creating a jejunal limb anastomosed to the proximal jejunum in a Y-configuration,with the limb brought to the abdominal wall for feeding tube insertion.This is designed to reduce leakage by diverting intestinal contents away from the stoma.Topics included symptoms,nutrition,quality of life,and comparison to previous feeding methods.RESULTS Post-procedure,all patients reported improvements in nausea/vomiting,and 87.5%noted reduced abdominal pain.Weight stabilized and oral intake improved in 75%of patients.Most(87.5%)described improved social confidence,increased energy,and better work/school functioning.Three patients(37.5%)eventually maintained adequate oral nutrition without jejunostomy.Minor complications included leakage(37.5%)and hypergranulation tissue.Half the cohort used supplemental gastric venting.Most patients(87.5%)preferred Roux-en-Y jejunostomy over previous feeding tubes and would undergo the procedure again.CONCLUSION Despite some challenges,Roux-en-Y jejunostomy led to notable improvements in symptoms,nutrition,and quality of life for most patients with refractory gastroparesis.It may be a viable option for long-term enteral nutrition support in carefully selected patients.Further research is needed to optimize patient selection and m

关 键 词：GASTROPARESIS JEJUNOSTOMY Enteral nutrition Quality of life Feeding tube 

分 类 号：R65[医药卫生—外科学]