BACKGROUND Pancreaticoduodenectomy is the procedure of choice for tumors of the head of the pancreas and periampulla. Despite advances in surgical technique and postoperative care, the procedure continues to carry a high morbidity rate. One of the most common morbidities is delayed gastric emptying with rates of 15%-40%. Following two prolonged cases of delayed gastric emptying, we altered our ...

OBJECTIVES The assessment of nutritional intake before and after bariatric surgery assists in identifying eating disorders, nutritional deficiencies and weight loss/maintenance. The 7-day record is the gold standard for such an assessment and is interpreted using specialized software. This study sought to compare the Virtual Nutri Plus® and Dietpro 5i® software systems in assessing nutrient int...

A 63-year-old man, who had undergone total gastrectomy and Roux-en-Y reconstruction for gastric cancer 10 years previously, was admitted to our hospital with complaints of abdominal pain, palpable abdominal tumor, and hematemesis. On admission, the abdominal tenderness was improving and no abdominal tumor was palpable. Mild inflammatory changes and anemia were noted on blood examination. Abdomi...

BACKGROUND Bariatric operations may alter esophageal motility; however, there is a paucity of studies of the esophageal motility with high resolution manometry. AIM To study patients after Roux-en-Y gastric bypass for morbid obesity with high resolution motility. METHODS Were included 18 asymptomatic patients (17 women, mean age 53 years) after undergoing to Roux-en-Y gastric bypass for mor...

OBJECTIVES This study aimed to determine whether advanced age or sex was predictive of adverse outcomes after Roux-en-Y gastric bypass. METHODS The Pennsylvania State Discharge Database was searched for records of morbidly obese patients who underwent Roux-en-Y gastric bypass. The SASs MIXED Procedure was used to test whether mortality alone or adverse outcomes (postoperative complications, n...

BACKGROUND Intracorporeal Roux-en-Y esophagojejunostomy during laparoscopic total gastrectomy for gastric cancer remains a challenging manipulation due to the uncontrolled direction of the jejunal side or unintended embedded tissues, although several methods have been introduced. In this study, we simplified the procedure based on a surgical string fixing technique using a transorally inserted ...

total gastrectomy is one of the most common operative procedures for gastric malignancy, but therecommended method of gastrointestinal reconstruction after gastrectomy is still controversial. significantweight loss has been noted by many observers following gastrectomy. the roux-en-y method is the mostfrequent reconstructive technique performed after gastrectomy. this technique is easy to perfo...

Gilles C. Martin, MD, MSc; Gael Le Roux, PharmD; Damien Guindolet, PhD; Etienne Boulanger; Denis Hasle, MD; Emilie Morin; Dominique Vodovar, Catherine Vignal, Eric Gabison, Alexis Descatha, French PCC Research Group; Christine Tournoud; Jérôme Langrand; Hervé Laborde-Casterot; Nicolas Franchitto; Simon; Camille Paradis; Anne-Marie Patat; Patrick Nisse; Ramy Azzouz; Marie Deguigne; Marion Legeay