caa a22 4500 465771963 CHVBK 20180323111931.0 cr unu---uuuuu 170327e19901101xx s 000 0 eng 10.1007/BF00174343 doi (NATIONALLICENCE)springer-10.1007/BF00174343 Electromyographic study of the mechanism of postoperative cholangitis in congenital biliary atresia [Elektronische Daten] Intestinal motility after Roux-en-Y biliary reconstruction [M. Yagi, M. Iwafuchi, M. Uchiyama, K. Takano] Cholangitis after biliary reconstruction for congenital biliary atresia is a troublesome postoperative complication. In order to clarify its mechanism and the changes in intestinal movement after biliary reconstruction by Roux-en-Y anastomosis, we performed electromyographic (EMG) studies of the motility of the reconstructed intestine in dogs. Monitoring the basic electrical rhythm (BER) and migrating myoelectric complexes (MMC), EMG analysis was carried out. As most of the Y-loop MMCs were propagated smoothly to the anal side, according to the continuity of the intestine, the intestinal contents were transported without stagnation. These intestinal movements appear to be useful as a biliary drainage route and to prevent ascending cholangitis. A comparison of short- and long-term intestinal motility after biliary reconstruction showed adaptation of the intestinal movement following the procedure. The outflow of bile appeared to accelerate intestinal motility because of prolongation of the MMC interval in the duodenum and oral jejunum without bile flow. Springer-Verlag, 1990 Congenital biliary atresia nationallicence Roux-en-Y biliary reconstruction nationallicence Ascending cholangitis nationallicence Intestinal motility nationallicence Electromyographic analysis nationallicence Yagi M. Department of Pediatric Surgery, Niigata University Hospital, 1-754, Asahimachi-dori, 951, Niigata-City, Niigata, Japan aut Iwafuchi M. Department of Pediatric Surgery, Niigata University Hospital, 1-754, Asahimachi-dori, 951, Niigata-City, Niigata, Japan aut Uchiyama M. Department of Pediatric Surgery, Niigata University Hospital, 1-754, Asahimachi-dori, 951, Niigata-City, Niigata, Japan aut Takano K. Second Department of Surgery, Yamanashi University Medical School, Tamahochyo, Nakakomagun, 409-38, Yamanashi, Japan aut Pediatric Surgery International Springer-Verlag 5/6(1990-11-01), 433-436 0179-0358 5:6<433 1990 5 383 https://doi.org/10.1007/BF00174343 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF00174343 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Yagi M. Department of Pediatric Surgery, Niigata University Hospital, 1-754, Asahimachi-dori, 951, Niigata-City, Niigata, Japan aut NATIONALLICENCE 700 1- Iwafuchi M. Department of Pediatric Surgery, Niigata University Hospital, 1-754, Asahimachi-dori, 951, Niigata-City, Niigata, Japan aut NATIONALLICENCE 700 1- Uchiyama M. Department of Pediatric Surgery, Niigata University Hospital, 1-754, Asahimachi-dori, 951, Niigata-City, Niigata, Japan aut NATIONALLICENCE 700 1- Takano K. Second Department of Surgery, Yamanashi University Medical School, Tamahochyo, Nakakomagun, 409-38, Yamanashi, Japan aut NATIONALLICENCE 773 0- Pediatric Surgery International Springer-Verlag 5/6(1990-11-01), 433-436 0179-0358 5:6<433 1990 5 383 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer