Roux Limb Motility in Gastric Bypass Patients with Chronic Abdominal Pain-Is There an Association to Prescribed Opioids?
Per BjörklundAlmantas MaleckasHans LönrothNiclas BjörnfotSven Egron ThörnLars FändriksPublished in: Obesity surgery (2020)
In the symptomatic patient group, we found disturbed Roux limb motor patterns in 10 out of 15 examinations, but no signs of Roux stasis syndrome. A high prevalence of prescribed opioid analgesics as well as a high number of reoperations in this group. The worst quality of life and the highest number of pain-killing medications were observed among the patients with distal pacemaker activity in Roux limb. In the morphine-naïve and asymptomatic patients, morphine increased the muscular tone in the Roux limb during phase III-like motor activity. A majority of the RYGBP patients with chronic abdominal pain had a disturbed Roux limb fasting motility, and there was a high prevalence of prescribed opioid analgesics. In opiate-naïve RYGBP patients, acute morphine intravenously increased the muscular tone of the Roux limb.
Keyphrases
- gastric bypass
- roux en y gastric bypass
- weight loss
- obese patients
- abdominal pain
- chronic pain
- end stage renal disease
- pain management
- ejection fraction
- newly diagnosed
- chronic kidney disease
- bariatric surgery
- peritoneal dialysis
- clinical trial
- randomized controlled trial
- escherichia coli
- open label
- liver failure
- spinal cord injury
- case report
- biofilm formation
- intensive care unit
- pseudomonas aeruginosa
- study protocol
- vena cava
- high intensity
- inferior vena cava
- double blind
- hepatitis b virus