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gastrojejunostomy

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https://www.readbyqxmd.com/read/29675964/antegrade-tissue-scraping-through-eus-guided-hepaticogastrostomy-with-video
#1
Takeshi Ogura, Atsushi Okuda, Kazuhide Higuchi
A novel endoscopic device (Fig 1a, Trefle, Piolax Medical Devices, Yokohama, Japan) for collecting sufficient amounts of biliary tract tissue samples under ERCP guidance for pathological diagnosis is now available in Japan [1]. Because of easy accessibility into the biliary tract through the bile duct stricture, this device might be clinically useful via a transluminal approach. Here, we described technical tips for collecting bile-duct tissue samples under EUS-guided antegrade access. A 78-year-old man who had undergone distal gastrectomy with Roux-en-Y gastrojejunostomy to treat a gastric ulcer was referred to our hospital with obstructive jaundice...
April 19, 2018: Digestive Endoscopy: Official Journal of the Japan Gastroenterological Endoscopy Society
https://www.readbyqxmd.com/read/29630025/direct-percutaneous-endoscopic-jejunostomy-for-the-management-of-gastroparesis-in-pregnancy
#2
Sawan Vijay Rupani, William F Ergen, Frederick Weber, Shajan Peter
BACKGROUND: Providing meaningful nutrition in cases of refractory hyperemesis during pregnancy can be challenging; although intragastric enteral nutrition is the most common approach, it is contraindicated in certain cases and carries the risk of increased nausea and vomiting. CASE: A 36-year-old primigravid woman with a history of gastroparesis presented at 16 weeks of gestation with nausea and vomiting. With no improvement with conventional approaches and signs of malnutrition, a direct percutaneous endoscopic jejunostomy was placed...
April 6, 2018: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29601079/relationship-between-intraoperative-non-technical-performance-and-technical-events-in-bariatric-surgery
#3
A B Fecso, S S Kuzulugil, C Babaoglu, A B Bener, T P Grantcharov
BACKGROUND: The operating theatre is a unique environment with complex team interactions, where technical and non-technical performance affect patient outcomes. The correlation between technical and non-technical performance, however, remains underinvestigated. The purpose of this study was to explore these interactions in the operating theatre. METHODS: A prospective single-centre observational study was conducted at a tertiary academic medical centre. One surgeon and three fellows participated as main operators...
March 30, 2018: British Journal of Surgery
https://www.readbyqxmd.com/read/29589076/-robot-assisted-vs-laparoscopic-gastric-bypass-first-experiences-with-the-davinci-system-in-bariatric-surgery
#4
J H Beckmann, H Aselmann, J H Egberts, A Bernsmeier, M Laudes, T Becker, C Schafmayer, M Ahrens
Conventional laparoscopy is the gold standard in bariatric surgery. Internationally, robot-assisted surgery is gaining in importance. Up to now there are only few reports from Germany on the use of the system in bariatric surgery. Since January 2017 we have been performing robot-assisted gastric bypass surgery. It remains unclear whether the use of the robotic system has advantages over the well-established laparoscopic technique. Within a period from January to early August 2017 a total of 53 gastric bypass operations were performed...
March 27, 2018: Der Chirurg; Zeitschrift Für Alle Gebiete der Operativen Medizen
https://www.readbyqxmd.com/read/29587784/mesh-reinforced-pancreaticojejunostomy-versus-conventional-pancreaticojejunostomy-after-pancreaticoduodenectomy-a-retrospective-study-of-126-patients
#5
Xin Zhong, Xianfa Wang, Junhai Pan, Hepan Zhu, Lihu Gu, Zhaoqi Shi
BACKGROUND: Pancreatic fistula is a major cause of morbidity and mortality after pancreaticoduodenectomy. The aim of this study is to compare the safety and efficacy of a newly developed technique, namely mesh-reinforced pancreaticojejunostomy, in comparison with the conventional use of pancreaticojejunostomy after undergoing a pancreaticoduodenectomy. METHODS: Data was collected from regarding 126 consecutive patients, who underwent the mesh-reinforced pancreaticojejunostomy or conventional pancreaticojejunostomy, after standard pancreaticoduodenectomy by one group of surgeons, between the time period of 2005 and 2016...
March 27, 2018: World Journal of Surgical Oncology
https://www.readbyqxmd.com/read/29577220/-comparison-of-the-safety-and-the-costs-between-laparoscopic-assisted-or-totally-laparoscopic-uncut-roux-en-y-and-billrothii-braun-reconstruction-a-single-center-prospective-cohort-study
#6
Yinkui Wang, Ziyu Li, Fei Shan, Lianhai Zhang, Shuangxi Li, Yongning Jia, Yufan Chen, Kan Xue, Rulin Miao, Zhemin Li, Xiangyu Gao, Chao Yan, Shen Li, Zhouqiao Wu, Jiafu Ji
OBJECTIVE: To compare the short-term safety and costs between laparoscopic assisted or totally laparoscopic uncut Roux-en-Y and Billroth II((BII() + Braun reconstruction after radical gastrectomy of distal gastric cancer. METHODS: Clinical data from our prospective database of radical gastrectomy were systematically analyzed. The patients who underwent laparoscopic gastrectomy with uncut Roux-en-Y or BII(+ Braun reconstruction between March 1st, 2015 and June 30th, 2017 were screened out for further analysis...
March 25, 2018: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
https://www.readbyqxmd.com/read/29570853/long-term-safety-and-efficacy-of-levodopa-carbidopa-intestinal-gel-in-advanced-parkinson-s-disease
#7
Hubert H Fernandez, James T Boyd, Victor S C Fung, Mark F Lew, Ramon L Rodriguez, John T Slevin, David G Standaert, Cindy Zadikoff, Arvydas D Vanagunas, Krai Chatamra, Susan Eaton, Maurizio F Facheris, Coleen Hall, Weining Z Robieson, Janet Benesh, Alberto J Espay
BACKGROUND: Levodopa-carbidopa intestinal gel (designated as carbidopa-levodopa enteral suspension in the United States) provides stable plasma levodopa concentrations and reduces motor fluctuations in advanced Parkinson's disease patients through continuous delivery of levodopa via percutaneous endoscopic gastrojejunostomy. We report long-term safety and efficacy outcomes from an open-label phase 3 treatment program. METHODS: PD patients (n = 262) who completed a 12-week double-blind study and its 52-week open-label extension or a separate 54-week open-label study were enrolled in this ongoing phase 3 open-label, multinational study (NCT00660673)...
March 23, 2018: Movement Disorders: Official Journal of the Movement Disorder Society
https://www.readbyqxmd.com/read/29561980/drain-amylase-levels-may-indicate-gastrojejunostomy-leaks-after-roux-en-y-gastric-bypass
#8
Igor Braga Ribeiro, Martinho Antonio Gestic, Murillo Pimentel Utrini, Felipe David Mendonça Chaim, Elinton Adami Chaim, Everton Cazzo
BACKGROUND: Although the incidence of leaks after Roux-en-Y gastric bypass (RYGB) significantly decreased over time, their detection still remains challenging. OBJECTIVE: This study aimed to determine the usefulness of drain amylase levels to detect leaks after RYGB. METHODS: This is a population-based study which enrolled 170 individuals who underwent RYGB. Drain amylase levels were determined on the first and fourth postoperative days. Two thresholds were evaluated: three times higher than the serum levels (parameter I) and higher than 250 IU/L (parameter II)...
January 2018: Arquivos de Gastroenterologia
https://www.readbyqxmd.com/read/29559049/accuracy-of-the-acs-nsqip-online-risk-calculator-depends-on-how-you-look-at-it-results-from-the-united-states-gastric-cancer-collaborative
#9
Eliza W Beal, Neil D Saunders, Joseph F Kearney, Ezra Lyon, Lai Wei, Malcom H Squires, Linda X Jin, David J Worhunsky, Konstantinos I Votanopoulos, Aslam Ejaz, George Poultsides, Ryan C Fields, Douglas Swords, Alexandra W Acher, Sharon M Weber, Shishir K Maithel, Timothy Pawlik, Carl R Schmidt
The objective of this study is to assess the accuracy of the American College of Surgeons National Surgical Quality Improvement Program online risk calculator for estimating risk after operation for gastric cancer using the United States Gastric Cancer Collaborative. Nine hundred and sixty-five patients who underwent resection of gastric adenocarcinoma between January 2000 and December 2012 at seven academic medical centers were included. Actual complication rates and outcomes for patients were compared. Most of the patients underwent total gastrectomy with Roux-en-Y reconstruction (404, 41...
March 1, 2018: American Surgeon
https://www.readbyqxmd.com/read/29552252/gastrojejunoscopy-facilitates-placement-of-a-percutaneous-transgastric-jejunostomy-in-a-patient-with-a-pancreaticoduodenectomy-and-multiple-failed-feeding-tube-placements
#10
Jeffrey Forris Beecham Chick, James Shields, Joseph J Gemmete, Anthony Hage, Ravi N Srinivasa
Enteral access is one of the most common procedures performed in abdominal and interventional radiology. The surgical anatomy of the postoperative stomach may, however, make enteral access challenging. This report describes a patient with a pancreaticoduodenectomy complicated by a gastrojejunostomy leak who underwent 2 unsuccessful transoral endoscopic nasojejunal tube placements and 2 failed percutaneous gastrojejunostomy tube placements. Eventually, a gastrojejunostomy tube was placed utilizing percutaneous techniques with fluoroscopy assistance and gastrojejunoscopy guidance...
February 2018: Radiology Case Reports
https://www.readbyqxmd.com/read/29536407/alimentary-limb-ischemia-during-roux-en-y-gastric-bypass-and-its-management
#11
Tarun Mittal, Ashish Dey, Abhilash Nali, Sheikh Mohammad Taha Mustafa, Vinod K Malik
INTRODUCTION: Ischemia of the tip of the alimentary limb involving the gastrojejunostomy (GJ) is an unusual complication during Roux-en-Y gastric bypass (RYGB). Revision of the GJ may be needed to manage this complication. OBJECTIVES: We present a case of inadvertent perforation of the jejunum by a gastric calibration tube, which was recognized on the table and appropriate measures are then taken. Repair of this enterotomy however then led to ischemia of the tip of alimentary limb extending to a portion of the GJ anastomosis...
March 13, 2018: Obesity Surgery
https://www.readbyqxmd.com/read/29525263/modeling-suture-patterns-for-endoscopic-gastrojejunostomy-revision-analyzing-a-technique-to-address-weight-regain-after-gastric-bypass
#12
H Mason Hedberg, Alexander Trenk, Michael B Ujiki
BACKGROUND: Weight regain after Roux-en-Y gastric bypass affects up to 30% of individuals. A dilated gastrojejunostomy contributes to regain through decreased restriction. Endoscopic gastrojejunostomy revision is a safe alternative to revisional surgery. There is evidence that technique affects outcome, but the mechanical properties of various sutured repairs have not been evaluated. OBJECTIVE: To compare different suture patterns for endoscopic gastrojejunostomy revision using an ex vivo porcine model...
January 31, 2018: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
https://www.readbyqxmd.com/read/29516394/calibrated-gastrojejunostomy-in-gastric-bypass-it-is-a-myth
#13
A C Valezi, J Mali, M A Menezes, R O Sato
BACKGROUND: Many surgeons prefer a narrow gastrojejunostomy in gastric bypass believing that this provides greater weight loss. The question is whether the anastomosis remains at its initial diameter, whether it narrows or widens over time. This study tests the hypothesis that the initial diameter of the anastomosis varies over time. MATERIALS AND METHODS: One hundred obese had undergone surgery. Group A with anastomosis 1.5 cm wide and group B with anastomosis 3 cm wide...
March 7, 2018: Obesity Surgery
https://www.readbyqxmd.com/read/29508269/specialty-article-so-you-think-you-got-a-bypass-a-case-series-of-adventures-in-bariatric-surgery
#14
REVIEW
Eugene Y Wang, Timothy R Shope
To raise awareness for surgeons encountering bariatric patients with anatomy that deviates from the standard Roux-en-Y gastric bypass (RYGB). This is a single-institution retrospective case series over 12 years (2003-2014) involving patients who believed they received RYGBs, but actually did not. Data was obtained reviewing physician encounters, imaging, and operative reports. There were six cases with confusing clinical pictures, found to have aberrant RYGB anatomy: (1) gastric bypass with jejuno-jejunostomy only without gastrojejunostomy, (2) distal partial vertical gastrectomy without expected prosthetic band, (3) inverse vertical banded gastroplasty, (4) non-divided gastric bypass with no gastrojejunostomy, (5) 20-cm Roux limb, with gastro-gastric fistula, and (6) 200-cm bilio-pancreatic limb similar to the traditional Scopinaro procedure...
March 5, 2018: Obesity Surgery
https://www.readbyqxmd.com/read/29499701/case-report-about-a-successful-full-robotic-radical-gastric-cancer-surgery-with-intracorporeal-robot-sewn-anastomosis-in-a-patient-with-situs-inversus-totalis-and-a-two-and-a-half-year-follow-up-study
#15
Hai-Bin Dai, Zhi-Chun Wang, Xiao-Bo Feng, Gang Wang, Wei-Yan Li, Chun-Hua Hang, Zhi-Wei Jiang
BACKGROUND: During the last decade, total laparoscopic and laparoscopic-assisted distal gastrectomy for gastric cancer patients has been developed as alternatives to open resection. In recent years, this minimally invasive surgery has been extended using robotic-assisted surgery. CASE PRESENTATION: Here, we report a surgical intervention using a Da Vinci surgical robot in which a lower two-third stomach resection with subsequent Billroth II gastrojejunostomy was performed...
March 2, 2018: World Journal of Surgical Oncology
https://www.readbyqxmd.com/read/29499512/jejunogastric-intussusception-after-distal-gastrectomy-with-roux-en-y-reconstruction-a-case-report
#16
Fumiaki Kawano, Kousei Tashiro, Hironobu Nakao, Yoshirou Fujii, Takuto Ikeda, Shinsuke Takeno, Kunihide Nakamura, Atsushi Nanashima
INTRODUCTION: Jejunogastric intussusception is a rare complication after gastric operation. Intussusception after gastric operation occurs mostly at the gastrojejunal anastomosis site and Braun anastomosis site of Billroth II reconstruction, and at the Y anastomosis site of Roux-en-Y reconstruction. However, jejunogastric intussusception after distal gastrectomy with Roux-en-Y reconstruction is very rare. We report a surgical case of jejunogastric intussusception after distal gastrectomy for gastric cancer treatment...
January 31, 2018: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/29484926/giant-gastrointestinal-stromal-tumour-of-the-stomach-a-case-report-with-surgical-treatment
#17
Y Zhang, Y J Wang, C J Lu, G M Shu, T Bai
We report a case of giant gastrointestinal stromal tumour of the stomach in a 71-year-old woman, with emphasis on its going through surgical resection. The physical examination and radiological findings revealed that a giant mass occupied most of the abdominal cavity. The patient underwent an en-block resection of the mass, partial resection of the distal stomach and Billroth II gastrojejunostomy. The pathological diagnosis was gastrointestinal stromal tumour. The patient had a long-term disease-free survival...
February 27, 2018: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/29483439/-indication-of-palliative-gastrojejunostomy-for-unresectable-advanced-gastric-cancer-with-obstruction-from-the-view-point-of-preoperative-inflammatory-biomarkers
#18
Yoshio Oka, Kaoru Okada, Hideki Nagata, Shinichi Yoshioka, Shigeyuki Ueshima, Naozumi Higaki, Hirohito Hayashida, Riichiro Nezu
Palliative surgery for advanced gastric cancer with serious symptoms such as hemorrhage or obstruction may be meaningful in the point of improving quality of life(QOL). However, the meaning of palliative gastrojejunostomy for unresectable gastric cancer with obstruction is controversial. We retrospectively evaluated the effectiveness of gastrojejunostomy for unresectable gastric cancer with obstruction using preoperative inflammatory biomarkers. Blood lymphocyte monocyte ratio(LMR), neu- trophill ymphocyte ratio(NLR)and C-reactive protein/albumin ratio(CAR)were analyzed as inflammatory biomarkers in this study...
February 2018: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://www.readbyqxmd.com/read/29462397/duodenal-crohn-s-disease
#19
Amy L Lightner
Symptomatic duodenal Crohn's disease (CD) is an uncommon disease presentation, especially in isolation. The most common duodenal disease phenotype is stricturing disease rather than inflammatory or perforating. Most patients are asymptomatic and are therefore diagnosed incidentally by cross-sectional imaging or endoscopy. Medical management includes proton pump inhibitor therapy and immunosuppressive therapy including corticosteroids, immunomodulatory therapy, and biologic therapy. Symptomatic strictures can often be treated medically or endoscopically, and do not always require surgery...
February 15, 2018: Inflammatory Bowel Diseases
https://www.readbyqxmd.com/read/29459613/complete-annular-pancreas-with-concurrent-entero-pancreatico-biliary-symptoms-in-adult-a-case-report
#20
M M Chowdhury, A A Ullah, R Karim, A Ahmed, S Mohammed, S A Sobhan, A A Farmidi, F Zuwaida, R Pradan, R Mahmud, B Rai, S Pervin, R Habib
Complete Annular pancreas (AP) is a rare congenital anomaly, often presented and operated at the early age of life. Adult presentation group usually presents with either biliary or duodenal or pancreatic symptoms. We report a case of 43 years old female presenting with concurrent enteric, biliary and pancreatic symptoms admitted on April 2016 in Hepatobiliary and Pancreatic Surgery Department of BSMMU, Dhaka, Bangladesh. A complete type of annular pancreas with partial duodenal stenosis and dilated common bile duct was observed during laparotomy...
January 2018: Mymensingh Medical Journal: MMJ
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