AIM To evaluate the feasibility of side-to-side anastomosis of the lesser curvature of stomach and jejunum in laparoscopic Roux-en-Y gastric bypass (LRYGB). METHODS Seventy-seven patients received side-to-side anastomosis of the lesser curvature of stomach and jejunum by utilization of linear stapler in LRYGB from April 2012 to July 2015 were retrospectively analyzed. RESULTS All patients w...

abstract   background : although, different studies on end-to-side nerve repair, results are controversial. the importance of this method in case is unavailability of proximal nerve. in this method, donor nerves also remain intact and without injury. in compare to other classic procedures, end-to-side repair is not much time consuming and needs less dissection. overall, the previous studies in ...

Background: : Radiotherapy is an important factor which results in increase of anastomosis leakage. Diverting loop ileostomy has been usually performed after colorectal anastomosis with history of neo-adjuvant radiotherapy to decrease the chance of leakage. Considering this effect, we assessed the feasibility and outcome of human amniotic membrane in rectal anastomosis in dogs previously treate...

Middle rectal artery is one of the important arteries supplying the rectum, along with the superior and inferior rectal arteries. Study of middle rectal artery was undertaken as it is important in surgeries of rectal carcinoma. .For the present study 40 pelvises were procured from the department of Anatomy of Dr. D. Y. Patil Medical College, Pune.Variations were found in the origin of middle re...

Superior mesenteric artery syndrome (SMAS) is an uncommon condition which difficult to diagnose due non-specificity of symptoms. The most common causes SMAS are severe weight loss secondary medical conditions, surgical history, and cancer. A 31-year-old male with a history ulcerative colitis status-post proctocolectomy ileal pouch-anal anastomosis 10 years prior, presented progressively worseni...

Background: Radiotherapy is one of the most important factors which results in negative effects on wound healing and increases anastomosis leakage. Diverting loop ileostomy has been usually performed after colorectal anastomosis in cases of colorectal cancer with a history of neoadjuvant radiotherapy to decrease the chance of leakage. Considering the side effects of diverting loop ileostomy, th...

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...

during ERCP using a single-balloon enteroscope in a patient with a Roux-en-Y gastrectomy Endoscopic retrograde cholangiopancreatography (ERCP) in patients with altered small-bowel anatomy is challenging, often needing device-assisted enteroscopy [1]. We report on a complicated ERCP procedure using a single-balloon enteroscope (SIF Q180, Olympus) in a 90-year-old patient who had undergone Roux-e...

Purpose: After performing pylous-preserving pancreaticoduodenectomy, there are several methods of performing pancreaticojejunostomy for preventing pancreatic leakage. The purpose of this study was to compare the results of two methods of jejunal anastomosis after pancreaticojejunostomy. Methods: We retrospectively evaluated the clinical results of 49 patients who had received pancreaticojejunos...

outcomes of stapled and hand-sewn Roux-en-Y intestinal anastomoses in childhood.
 Materials Methods: At a university hospital, the records children who underwent roux-en-Y anastomosis between December 2007 2014 were reviewed. The data compared according to technique used (stapled versus hand-sewn).
 Results: A total 52 patients had undergone anastomosis. All biliary atresia or choledo...