Three cases of Roux stasis syndrome after distal gastrectomy successfully treated with a W‐ED tube

Abstract

Roux stasis syndrome (RSS) , in which gastric emptying is delayed despite no stenosis after distal gastrectomy with Roux‐en‐Y reconstruction (R‐Y) , requires long‐term treatment and consideration of nutritional disorders. We reported three cases of RSS where patients maintained nutritional status using conservative treatment with Kangaroo™ W‐ED Tube (W‐EDT) . Case 1 was a 76‐year‐old woman who underwent gastrectomy with R‐Y and developed RSS 10 days after surgery. Case 2 was a 47‐year‐old man, and case 3 was a 68‐year‐old woman, both of whom developed RSS eight days after surgery. In all cases, the W‐EDT, was placed and gastric decompression and enteral nutrition (EN) were performed. Oral ingestion resumed 21 days, 29 days, and 63 days, respectively, after the onset of RSS. For all of them, the Controlling Nutritional Status score before discharge remained below 2 and no progression of nutritional disorders was observed. W‐EDT was helpful in gastric decompression and maintaining nutritional status using EN for RSS from one nasal cavity, and was considered to be useful for long‐term treatment．