[On the 150th birthday of César Roux (1857-1918). Memories of the life and work of an important pupil of Kocher]. / Zum 150. Geburtstag von César Roux (1857-1918). Erinnerung an Leben und Schaffen eines bedeutenden Kocher-Schülers.

César Roux was one of the few universal surgeons at the end of the 19th century who dominated all fields of surgery and influenced current surgery with his innovative spirit. Pioneering spirit and the story of the success of modern surgery are linked with his name. On the occasion of his 150th birthday, we recall the memory of this great surgeon. The personality and the history of Professor César Roux form a part of our medical and surgical heritage.

Anastomosis en Y de Roux, centenario de un valioso recurso para el cirujano / Roux in Y anastomosis, centennial of a valuable tool for the surgeon

Objetivo. Recordar el centenario de la operación en Y de Roux. Diseño. Revisión de la bibliografía y selección de 20 referencias. Contenido . Este año se cumplen cien de que César Roux (1857-1934) diseñó la derivación en Y que lleva su nombre. A pesar de su éxito inicial, la operación fue mal recibida y casi olvidada por la comunidad quirúrgica durante las primeras décadas del siglo XX; tuvo que esperar hasta el desarrollo de la vagotomía troncular para renacer. En la actualidad, este valioso recurso se aplica para reconstruir la continuidad del aparato digestivo en diversas formas, lo que permite elaborar una anastomosis del tamaño que se requiera, desfuncionalizada, con excelente irrigación y sin tensión, que se adapta a las diferentes situaciones clínicas que el cirujano general llega a enfrentar

History of reconstruction after total gastrectomy.

Nearly a century has passed since Schlatter carried out the first successful total gastrectomy and antecolic end-to-side oesophagojejunostomy in 1897 in Zurich. Actually, fourteen years before, Conner attempted a total gastrectomy, but his patient died on the operating table. From the first success, a large number of different procedures have populated the worldwide literature, with a lot of papers reporting "original' techniques or data about the functional outcome.

Historia de la reconstrucción del tránsito intestinal después de gastrectomía total / History of intestinal transit reconstruction after total gastrectomy

Se analizan someramente las posibilidades de reconstrucción del tránsito intestinal después de gastrectomía total. De los numerosos procedimientos empleados, la esofagoyeyuno-anastomosis terminolateral en Y de Roux y una bolsa yeyunal tipo Hunt-Lawrence son los que ofrecen una mejor calidad de vida, con muy escasa esofagitis alcalina, mejor tolerancia a la comida y una menor baja de peso postoperatoria

Cesar Roux y su anastomosis en Y / Cesar Roux and his Roux-en-Y anastomosis

Durante los últimos 100 años, desde que Cesar Roux (1857-1934) describió su anastomosis con una ansa yeyunal en Y para facilitar la evacuación gástrica, esta técnica fue abandonada por ser ulcerogénica, pero, con la introducción de la vagotomía troncular volvió a recibir múltiples indicaciones, principalmente para tratar las secuelas de la cirugía gástrica como las gastritis alcalinas, el reflujo esofágico, el dumping y otros sindromes digestivos. También se utiliza para drenar las vías biliares, el páncreas y el esófago. La complicación más común de esta anastomosis es el "sindrome de la Y de Roux", produzido por la estasis gástrica, intestinal o de ambos órganos. En el centenario de su primera publicación recordamos a Cesr Roux que forma parte de nuestra herencia quirúrgica

[Cesar Roux and his Roux-en-Y anastomosis]. / Cesar Roux y su anastomosis en Y.

During the last 100 years, since Cesar Roux (1857-1934) began utilizing his "Loop-en-Y" procedure for gastric outlet obstruction, this technique fell into disfavour but later, with the vagotomy, it was adapted for multiple applications. The greatest factor in its revival has been the treatment of postgastrectomy sequels, including alkaline reflux gastritis, reflux esophagitis, dumping and other syndromes. Additionally Roux-en-Y anastomosis has been used to drain diverse organs as the biliary tract, pancreas and esophagus. The main complication of loop-en-Y is the Roux syndrome, secondary to gastric or efferent jejunal stasis, or both. As the centennial of Roux's first use of his eponymic procedure approaches its seems appropriated to remind its memory as a part of our surgical inheritance.

Perspectives a century later on the "Ansa en Y" of César Roux.

During the last 100 years, since César Roux began utilizing his "Ansa-en-Y" procedure for gastric outlet obstruction, the procedure at first fell into disuse but was later adapted for other applications. This article discusses the background of the procedure and compares the original indications with the author's current experience. Current applications in this series were for chronic pancreatitis (26 patients), alkaline gastritis (22 patients), biliary duct obstruction (7 patients), pancreatic pseudocyst (3 patients), and gastric substitution (3 patients).

The Y anastomosis of César Roux.

RYA was designed to avoid biliary reflux, which complicated earlier forms of gastrojejunostomy. The emerging popularity of the procedure was squelched by the frequent complication of gastrojejunal stomal ulceration. RYA returned from surgical oblivion after World War II in its use in replacing the esophagus and stomach. It is now commonly used to drain other organs, mainly the biliary system, and in various remedial operations for complications from gastrectomy. Conversion to RYA is efficacious for the treatment of inflammation of the stomach and esophagus caused by alkaline reflux. The main complication of RYA is Roux Y syndrome, secondary to gastric or efferent jejunal stasis, or both. Peptic ulceration is much less a problem since the advent of vagotomy. Better understanding of the physiologic characteristics of various forms of RYA should soon better define the limits of its clinical application.