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Endoscopic ultrasound (EUS)-guided gastroenterostomy with placement of a lumen-apposing metal stent has emerged as a novel, minimally invasive therapeutic option for patients with gastric outlet obstruction (GOO) [1–3]. The most challenging aspect of the procedure is immobilizing the jejunal loop in order to create the fistulous tract and deploy the stent. Several different techniques have been...

HYPOTHESIS The outcome of the stomach-partitioning gastrojejunostomy (SPGJ) procedure is superior to that of stenting procedures. DESIGN Data from patients who underwent an SPGJ were collected retrospectively from hospital medical records (body weight, hemoglobin and albumin levels, assessment of food intake, duration of hospitalization, complications, and survival rates), and we compared the...

About 30% of patients who have a Roux-en-Y gastrojejunostomy after gastrectomy suffer from abdominal pain, nausea, vomiting of food and bloating made worse by eating. This syndrome, called the Roux stasis syndrome, is caused, in part, by a motility disorder of the Roux limb. Transection of the jejunum during the construction of the limb separates the limb from the natural small intestinal pacem...

Gastroenterol Hepatol Open Access 2016, 4(4): 00110 staging and palliation [1]. The complexity of pancreatic surgery caused slower development of laparoscopic pancreatic resections despite the fact that the first laparoscopic DP and laparoscopic PD were done in early 90s [2]. Presently, various laparoscopic procedures shown to be safe and feasible for the management of pancreatic cancer include...

A 61-year-old woman presented with 4 days of subacute generalized abdominal pain, associated nausea, and 4 episodes of coffee ground emesis. She had a gastrojejunostomy 35 years previously. An intravenous and oral contrast abdominal/pelvic computed tomography (CT) showed a large lobulated mass with small bowel morphology within the stomach suggestive of a duodenal and proximal small bowel intus...

Steatorrhoea and diarrhoea follow all types of gastric surgery but their incidence is probably highest when vagotomy is performed. This investigation was undertaken in an attempt to answer the following questions: What is the incidence of diarrhoea and steatorrhoea after vagotomy accompanied by either pyloroplasty or gastrojejunostomy? Is there a significant difference in the incidence of steat...

The results of vagotomy and simple drainage for recurrent benign lesser curve gastric ulcer are recorded. Seventy-two consecutive cases were treated from 1962 to 1965. The follow-up is therefore from five to eight years. In only two cases did the ulcer fail to heal and remain healed. Four years after operation both these had persistent ulceration and persistent gastric retention. Both have appa...