{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T10:08:51Z","timestamp":1760954931770},"reference-count":15,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[1990,5,1]],"date-time":"1990-05-01T00:00:00Z","timestamp":641520000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1990,5,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Vomiting is a frequent complaint after revisional gastric surgery using a Roux-en- Y biliary diversion. This is believed to be due to gastric stasis or stasis in the jejunal component of the Roux-en-Y. Thirty-three patients, ten with a satisfactory outcome following Roux-en- Y diversion and 23 with an unsatisfactory outcome, were studied using a semisolid, radiolabelled meal and compared with 12 normal subjects. Outcome was assessed by modified Visick grading. Seven patients with an unsatisfactory outcome because of frequent vomiting had gastric stasis and two had delay in emptying of the jejunal component of the Roux-en-Y. Vomiting was more likely in patients with a dependent sump (P&amp;lt;0\u00b70006) and emptying was significantly prolonged where a sump was present (P = 0\u00b70009). Surgical technique contributed to the dependent sump.<\/jats:p>","DOI":"10.1002\/bjs.1800770527","type":"journal-article","created":{"date-parts":[[2007,3,3]],"date-time":"2007-03-03T13:56:41Z","timestamp":1172930201000},"page":"548-550","source":"Crossref","is-referenced-by-count":9,"title":["Vomiting after Roux-en-Y biliary diversion: Relationship to surgical technique"],"prefix":"10.1093","volume":"77","author":[{"given":"G H","family":"Ferguson","sequence":"first","affiliation":[{"name":"Department of Surgery, Manchester Royal Infirmary , Oxford Road, Manchester M13 9WL,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M","family":"Rose","sequence":"additional","affiliation":[{"name":"Department of Nuclear Medicine and Medical Physics, Manchester Royal Infirmary , Oxford Road, Manchester M13 9WL,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"I","family":"Maclennan","sequence":"additional","affiliation":[{"name":"Department of Surgery, Manchester Royal Infirmary , Oxford Road, Manchester M13 9WL,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T V","family":"Taylor","sequence":"additional","affiliation":[{"name":"Department of Surgery, Manchester Royal Infirmary , Oxford Road, Manchester M13 9WL,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H B","family":"Torrance","sequence":"additional","affiliation":[{"name":"Department of Surgery, Manchester Royal Infirmary , Oxford Road, Manchester M13 9WL,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[1990,5,1]]},"reference":[{"key":"2024092809084228700_bib1","doi-asserted-by":"crossref","first-page":"490","DOI":"10.1016\/S0002-9610(88)80120-X","article-title":"Roux-en-Y stasis syndrome after gastrectomy","volume":"155","author":"Gustavsson","year":"1988","journal-title":"Am J Surg"},{"key":"2024092809084228700_bib2","doi-asserted-by":"crossref","first-page":"101","DOI":"10.1016\/S0016-5085(85)80140-2","article-title":"Nausea, vomiting and abdominal pain after Roux-en-Y anastomosis: motility of the jejunal limb","volume":"88","author":"Mathias","year":"1985","journal-title":"Gastroenterologv"},{"key":"2024092809084228700_bib3","doi-asserted-by":"crossref","first-page":"551","DOI":"10.1002\/bjs.1800770528","article-title":"Outcome of revisional gastric surgery using a Roux-en-Y biliary diversion","volume":"77","author":"Ferguson","year":"1990","journal-title":"Br J Surg"},{"key":"2024092809084228700_bib4","first-page":"268","article-title":"Technical errors in scintigraphic measurement of gastric emptying","volume":"20","author":"Harding","year":"1979","journal-title":"Nuc Med Comm"},{"key":"2024092809084228700_bib5","first-page":"264","article-title":"Technical factors in gastric emptying studies","volume":"24","author":"Christian","year":"1983","journal-title":"J Nucl Med"},{"key":"2024092809084228700_bib6","first-page":"67","article-title":"De la Gastro-enterostomie","volume":"1","author":"Roux","year":"1897","journal-title":"Rev Gvnecol Chir Abdo"},{"key":"2024092809084228700_bib7","first-page":"380","article-title":"Gastrointestinal symptoms, motility, and transit after the Roux-en-Y operation","volume":"83","author":"Perino","year":"1988","journal-title":"Am J Gastroenterol"},{"key":"2024092809084228700_bib8","doi-asserted-by":"crossref","first-page":"491","DOI":"10.1002\/bjs.1800740623","article-title":"Effect of Roux-en-Y reconstruction on the gastric emptying of a solid meal","volume":"74","author":"Donovan","year":"1987","journal-title":"Br J Surg"},{"key":"2024092809084228700_bib9","doi-asserted-by":"crossref","first-page":"900","DOI":"10.1002\/bjs.1800741010","article-title":"Gastric emptying and clinical outcome after Roux-en-Y diversion","volume":"74","author":"Britton","year":"1987","journal-title":"Br J Surg"},{"key":"2024092809084228700_bib10","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1097\/00000658-197801000-00017","article-title":"Control of gastric emptying: interaction of the vagus and pyloric antrum","volume":"187","author":"Yamagishi","year":"1978","journal-title":"Ann Surg"},{"key":"2024092809084228700_bib11","doi-asserted-by":"crossref","first-page":"593","DOI":"10.1080\/00365521.1975.12097017","article-title":"Dynamic gastric response to expansion before and after vagotomy","volume":"10","author":"Jahnberg","year":"1975","journal-title":"Scand J Gastroenterol"},{"key":"2024092809084228700_bib12","doi-asserted-by":"crossref","first-page":"517","DOI":"10.1136\/gut.23.6.517","article-title":"Patterns of small intestinal motility in duodenal ulcer patients before and after vagotomy","volume":"23","author":"Thompson","year":"1982","journal-title":"Gut"},{"key":"2024092809084228700_bib13","first-page":"151","volume-title":"Surgery Annual; 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