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… (More)