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Gastric stump

Abdoulhossein Davoodabadi, Hamid Reza Talari, Maseeh Jahanbakhsh
Isolated common hepatic artery branch thrombosis with severe gastric ischemia and duodenojejunal infarction is a rare condition; it usually presents with acute abdomen and may be associated with underlying thrombotic risk factors. We present a 35-year-old man admitted to our hospital with five days history of sudden abdominal pain and deteriorating epigastric pain. He was a driver and had no any past medical history. Explorative laparotomy showed: distal 2/3 gastric, duodenojejunal and papilla vater was sloughed...
September 2016: Acta Medica Iranica
Armando Peixoto, João Santos-Antunes, Marco Silva, Guilherme Macedo
The authors present the case of a 71-year-old man with a history of a Billroth-II subtotal gastrectomy due to a mixed adenocarcinoma, stage pT4aN3aM0 (TNM classification), with adjuvant chemotherapy. Subsequent endoscopic and imaging evaluations revealed no signs of recurrence. Five years later, the patient was admitted with obstructive jaundice.
November 2016: Revista Española de Enfermedades Digestivas
Augustin Marian Marincaş, Virgiliu Mihail Prunoiu, Ciprian Cirimbei, Raluca Buzatu, Rodica Corniciuc, Cristian Sersea, Eugen Brătucu
: Introduction: The risk of digestive fistula in patients operated for gastric neoplasm is increased due to biological imbalances generated by the cancer's progression, by diagnosis in advanced stages, and by the scale of intervention. Under these circumstances the use of some technical means to protect digestive sutures in these patients is useful. AIM: To analyse the efficiency of technical means to protect the digestive sutures in patients operated in various stages of development of gastric cancer...
2016: Chirurgia
Cristiano Gs Hüscher, Marco Maria Lirici, Cecilia Ponzano
BACKGROUND: Natural Orifice Specimen Extraction - NOSE laparoscopy is a promising technique that avoids mini-laparotomy, possibly reducing postoperative pain, wound infections and hospital stay. Recent systematic reviews have shown that postoperative morbidity associated with laparoscopically assisted gastrectomies is similar to that after open gastrectomies. More specifically, there is no difference in wound infection rate. The study objective was to evaluate whether postoperative morbidity and hospital stay may be reduced by transoral specimen extraction after laparoscopically assisted gastrectomy for early gastric cancer...
November 1, 2016: Minimally Invasive Therapy & Allied Technologies: MITAT
Jordi Pujol Gebelli, Amador Garcia Ruiz de Gordejuela, Almino Cardoso Ramos, Mario Nora, Ana Marta Pereira, Josemberg Marins Campos, Manoela Galvão Ramos, Eduardo Lemos de Souza Bastos, João Batista Marchesini
Background: Bariatric surgery is performed all over the world with close to 500.000 procedures per year. The most performed techniques are Roux-en-Y gastric bypass and sleeve gastrectomy. Despite this data, the most effective procedure, biliopancreatic diversion with or without duodenal switch, represents only no more than 1.5% of the procedures. Technical complexity, morbidity, mortality, and severe nutritional adverse effects related to the procedure are the main fears that prevent most universal acceptance...
2016: Arquivos Brasileiros de Cirurgia Digestiva: ABCD, Brazilian Archives of Digestive Surgery
Rosemary Simões Nomelini Rodrigues, Élia Cláudia de Souza Almeida, Silvia Maria Perrone Camilo, Júverson Alves Terra-Júnior, Lucinda Calheiros Guimarães, Ana Cristina da Rocha Duque, Renata Margarida Etchebehere
Background: Morbid obesity is a multifactorial disease that increasingly is being treated by surgery. Aim: To evaluate gastric histopathological changes in obese, and to compare with patients who underwent gastrojejunal bypass and the jejunal mucosa after the surgery. Methods: This is an observational study performed at a tertiary public hospital, evaluating endoscopic biopsies from 36 preoperative patients and 35 postoperative. Results: In the preoperative group, 80...
2016: Arquivos Brasileiros de Cirurgia Digestiva: ABCD, Brazilian Archives of Digestive Surgery
H Nienhüser, S Blank, L Sisic, R Kunzmann, U Heger, K Ott, M W Büchler, T Schmidt, A Ulrich
BACKGROUND: Gastric stump carcinoma develops in the gastric remnant after partial gastrectomy. While the frequency of gastric cancer is declining, the incidence of gastric stump carcinoma has remained stable due to the long latency period. As the surgical treatment of gastric ulcers by partial gastrectomy has become much less important, more and more gastric stump carcinomas develop after oncological resection. AIM: This study compared the surgical therapy of gastric stump carcinoma with the therapy of primary gastric cancer...
September 27, 2016: Der Chirurg; Zeitschrift Für Alle Gebiete der Operativen Medizen
D N Păduraru, A Nica, D Ion, M Handaric, O Andronic
Gastric stump cancer (GSC) is the malignant tumor that develops in the gastric remnant after partial gastrectomy was performed both for benign and malignant lesions. This paper presents the results of the case studies from the scientific literature, which focused on GSC, and has been published in the last 10 years. The search was performed with the help of the specific tools offered by the international databases. The subject was approached because of the constant rising incidence of GSC in the past few years, now reaching values between 1% and 7%...
April 2016: Journal of Medicine and Life
Zhen Liu, Shushang Liu, Guanghui Xu, Fan Feng, Man Guo, Xiao Lian, Chao Nai, Xuewen Yang, Jinqiang Liu, Gaozan Zheng, Hongwei Zhang
OBJECTIVE: To compare the long-term survival and postoperative complications of distal gastric cancer patients between Billroth I((BI() and Billroth II((BII() reconstruction. METHODS: Clinicopathological data of 992 patients with distal gastric cancer who underwent D2 curative gastrectomy in our department from May 2008 to April 2015 were recorded, including 207 patients of BI( reconstruction and 785 of BII( reconstruction, were retrospectively analyzed. Patients presenting a previous history of cancer, gastric resection or cytotoxic chemotherapy, and those presenting liver or intraperitoneal tumor dissemination or unresectable infiltration into contiguous organs were excluded...
July 2016: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
Kentaro Inoue, Taku Michiura, Junichi Fukui, Hiromi Mukaide, Takashi Ozaki, Hirokazu Miki, Toshinori Kobayashi, Masaharu Oishi, Ryo Inada, Tomoko Matsumoto, Masanori Yamada, Hiroaki Yanagimoto, Songtae Kim, Sohei Satoi, Masaki Kaibori, Masanori Kon, Madoka Hamada
PURPOSE: We report a duodenal stump reinforcement procedure in laparoscopic distal gastrectomy with Roux-en-Y reconstruction. METHODS: We retrospectively reviewed the data of 223 patients who underwent laparoscopic distal gastrectomy with Roux-en-Y reconstruction for gastric cancer. We compared 2 groups: group NR (not reinforced, n=102, June 2009 to December 2011) when we did not perform reinforcement of the duodenal stump, and group R (reinforced, n=121, January 2012 to July 2014) when we did the reinforcement...
August 2016: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
Karina M O Roda, Eduardo A Fonseca, Helry L Candido, Marcel R Benavides, Rogerio C Afonso, Renata Pugliese, Rodrigo Vincenzi, Paulo Chapchap, Joao Seda Neto
The association between LT and gastrectomy is not common. Only two studies reported the gastrectomy/LT association in children. Here, we report three children who underwent LT who required a concomitant or sequential gastrectomy for different reasons. Patient 1, a 16-yr-old boy, during the LT, underwent a partial gastrectomy due to extensive injury to the duodenum. He had a previous and unusual portoenterostomy performed in the duodenum. Bowel reconstruction was performed using an intestinal loop that was first used for the bilio-enteric anastomosis and then connected to the gastric stump...
July 13, 2016: Pediatric Transplantation
Matthieu Bruzzi, Richard Douard, Thibault Voron, Anne Berger, Franck Zinzindohoue, Jean-Marc Chevallier
BACKGROUND: Surgery appears to be the best treatment option for a chronic fistula after laparoscopic sleeve gastrectomy (LSG). Conservative procedures (conversion into a Roux-en-Y gastric bypass, Roux-limb placement) have proven their feasibility and efficacy, but an open total gastrectomy (TG) is sometimes required in challenging situations. OBJECTIVES: To assess outcomes from 12 consecutive patients who underwent surgery for a post-sleeve gastrectomy chronic fistula (PSGCF) between January 2004 and February 2012...
March 17, 2016: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
Saibo Pan, Gang Shen, Ming Wu
OBJECTIVE: We present a "Reversal Penetrating Technique" (RPT) to perform thoracoscopic esophagogastric anastomosis in Ivor Lewis minimally invasive esophagectomy (MIE). The safety and efficiency of this technique are evaluated. PATIENTS AND METHODS: RPT was used in Ivor Lewis MIE for treating patients with distal esophageal cancer. A specific anvil set is inserted into proximal esophagus lumen to allow its prefixed Prolene suture to pierce from the inside out. Then, the suture is pulled until the anvil rod penetrates the esophageal wall...
June 20, 2016: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
Renchao Zhang, Xiaowu Xu, Yiping Mou, Yucheng Zhou, Jiayu Zhou, Chaojie Huang, Yunyun Xu
OBJECTIVE: To evaluate the safety and feasibility of laparoscopic gastrectomy for gastric stump cancer. METHODS: Clinical and follow-up data of 7 patients who underwent laparoscopic gastrectomy for gastric stump cancer in our department from January 2008 to July 2015 were analyzed retrospectively. RESULTS: There were 5 male and 2 female patients, with a mean age of (62.1±10.7) years. Initial gastrectomy was performed for gastric cancer in 3 patients and peptic ulceration in 4...
May 2016: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
Augusto Diogo Filho, Lucas Ferreira Botelho, Andréa Nishiyama, Letícia Eugênia Zumpano, Rosana Caldeira Monte, Samantha Cunha Rosa
No abstract text is available yet for this article.
March 2016: Arquivos Brasileiros de Cirurgia Digestiva: ABCD, Brazilian Archives of Digestive Surgery
Bandar Idrees Ali, Cho Hyun Park, Kyo Young Song
PURPOSE: We evaluated the clinical outcomes of the non-operative management of post-gastrectomy duodenal stump leakage in patients with gastric cancer. MATERIALS AND METHODS: A total of 1,230 patients underwent gastrectomy at our institution between 2010 and 2014. Duodenal stump leakage was diagnosed in 19 patients (1.5%), and these patients were included in this study. The management options varied with patient condition; patients were managed conservatively, with a pigtail catheter drain, or by tube duodenostomy via a Foley catheter...
March 2016: Journal of Gastric Cancer
Sergio Gentilli, Luca Portigliotti, Fabio Davoli, Alberto Roncon, Ottavio Rena, Alberto Oldani
AIM: The restoration of the digestive tract by performing an esophago-jejunal anastomosis (EJA) is a crucial step of the total gastric and distal esophagus surgical resection for esophago-gastric junction (EGJ) cancer. We have already ideated and tested on a cadaver model an innovative technique which could be useful to minimize the risk of complications related to the phase of securing the anvil of the circular stapler prior to perform the EJA. This surgical technique was derived from the well-known "double-stapling Knight and Griffen" one that was described for the rectal resection...
2016: Annali Italiani di Chirurgia
V K Kapoor
UNLABELLED: Pancreato-duodenectomy (PD) is the procedure of choice for management of resectable periampullary and pancreatic cancers and some patients with chronic pancreatitis. PD is one of the most major GI/ HPB surgical procedures performed involving resection of multiple organs and reconstruction with multiple anastomoses. While mortality of PD has been brought down to less than 5% morbidity still remains high.Patients undergoing PD are usually elderly with comorbidities - general complications of a major operation e...
February 2016: Rozhledy V Chirurgii: Měsíčník Československé Chirurgické Společnosti
Jun Zhou, Junli Hou, Jianhui Li, Tabusi Ahetibieke, Aisha Abudousimu, Bo Ma, Jie Wang
OBJECTIVE: To investigate the outcomes after combined organ radical resection for the recurrent gastric cancer. METHODS: Complete clinicopathological data of 48 recurrent gastric cancer patients who received radical resection before and underwent reoperation again in the Sun Yat-sen Memorial Hospital and The Second Affiliated Hospital of Xinjiang Medical University from January 2008 to December 2013 were analyzed retrospectively. Of 48 patients, 32 received combined organ radical resection(radical group) and 16 received combined organ palliative gastric stump resection (palliative group)...
March 2016: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
Hyun-June Paik, Si-Hak Lee, Chang-In Choi, Dae-Hwan Kim, Tae-Yong Jeon, Dong-Heon Kim, Ung-Bae Jeon, Cheol-Woong Choi, Sun-Hwi Hwang
PURPOSE: A duodenal stump fistula is one of the most severe complications after gastrectomy for gastric cancer. We aimed to analyze the risk factors for this problem, and to identify the methods used for its prevention and management. METHODS: We retrospectively reviewed the clinical data of 716 consecutive patients who underwent curative gastrectomy with a duodenal stump for gastric cancer between 2008 and 2013. RESULTS: A duodenal stump fistula occurred in 16 patients (2...
March 2016: Annals of Surgical Treatment and Research
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