Afferent loop obstruction following laparoscopic distal gastrectomy with Billroth-II gastrojejunostomy

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Afferent loop obstruction following laparoscopic distal gastrectomy with Billroth-II gastrojejunostomy

PURPOSE Afferent loop (A-loop) obstruction is an uncommon postgastrectomy complication following Billroth-II (B-II) or Roux-en-Y reconstruction. Moreover, its development after laparoscopic gastrectomy has not been reported. Here we report 4 cases of A-loop obstructions after laparoscopic distal gastrectomy (LDG) with B-II reconstruction. METHODS Among the 396 patients who underwent LDG with ...

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Billroth II with Braun Enteroenterostomy Is a Good Alternative Reconstruction to Roux-en-Y Gastrojejunostomy in Laparoscopic Distal Gastrectomy

Background. Although Billroth II (BII) reconstruction is simpler and faster than Billroth I or Roux-en-Y (RY) reconstruction in patients undergoing totally laparoscopic distal gastrectomy (TLDG), BII reconstruction is associated with several complications, including more severe bile reflux. BII Braun anastomosis may be a better alternative to RY reconstruction. Methods. This retrospective study...

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Totally Laparoscopic Roux-en-Y Gastrojejunostomy after Laparoscopic Distal Gastrectomy: Analysis of Initial 50 Consecutive Cases of Single Surgeon in Comparison with Totally Laparoscopic Billroth I Reconstruction

PURPOSE Roux-en-Y reconstruction (RY) in laparoscopic distal gastrectomy for gastric cancer is a more complicated procedure than Billroth-I (BI) or Billroth-II. Here, we offer a totally laparoscopic simple RY using linear staplers. MATERIALS AND METHODS Each 50 consecutive patients with totally laparoscopic distal gastrectomy with RY and BI were enrolled in this study. Technical safety and su...

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Endoscopic Double Metallic Stenting in the Afferent and Efferent Loops for Malignant Afferent Loop Obstruction with Billroth II Anatomy.

Placement of endoscopic self-expandable metallic stents (SEMSs) is widely performed for malignant gastrointestinal obstructions as an effective palliative procedure. However, because only one report exists on SEMS placement at the bifurcation of a surgically reconstructed intestine, the safety and efficacy of the procedure have not been elucidated. We present a case of double SEMS placement at ...

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Comparison of laparoscopy-assisted and totally laparoscopic Billroth-II distal gastrectomy for gastric cancer

PURPOSE In laparoscopic distal gastrectomy for gastric cancer, most surgeons prefer extra-corporeal anastomosis because of technical challenges and unfamiliarity with intra-corporeal anastomosis. Herein, we report the feasibility and safety of intra-corporeal Billroth-II anastomosis in gastric cancer. METHODS From April 2004 to March 2011, 130 underwent totally laparoscopic distal gastrectomy...

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ژورنال

عنوان ژورنال: Journal of the Korean Surgical Society

سال: 2013

ISSN: 2233-7903,2093-0488

DOI: 10.4174/jkss.2013.84.5.281