1 Centre Interdisciplinaire de Recherche en Réadaptation et en Intégration Sociale de l’Université Laval, Centre de Recherche de l’Institut Universitaire en Santé Mentale de Québec, Faculté de Médecine, Université Laval, Quebec, QC, Canada 2 Centre Hospitalier le Vinatier, Université de Lyon, F-69003, Université Claude Bernard Lyon I, EA 4615, Bron, Lyon, France 3 Berenson-Allen Center for Noni...

1 Strathclyde Institute for Global Public Health at iPRI, Lyon, France; International Prevention Research Institute (iPRI), Lyon, France. 2 Université de Versailles St-Quentin, EA 4340, Boulogne-Billancourt, France & AP-HP, Hôpital Ambroise Paré, Service de Dermatologie Générale et Oncologique, Boulogne-Billancourt, France. 3 Université de Versailles St-Quentin, UMR-S 1168, Saint Quentin-en-Yve...

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1 Facultad de Salud Pública y Administración “Carlos Vidal Layseca”, Universidad Peruana Cayetano Heredia, Lima, Perú. 2 Biomedical and Health Informatics, School of Medicine, University of Washington, Seattle, WA, USA. 3 Facultad de Medicina “Alberto Hurtado”, Universidad Peruana Cayetano Heredia, Lima, Perú. a Médico. Magister en Salud Pública; b. Especialista en Informática Biomédica; c. Méd...

Gastric and colon interposition are the commonly used in esophageal operations. In this report, Two jejunal esophageal interposition cases are presented. In the first patient, a free jejunal interposition graft was used to re-establish swallowing route in a patient who suffered severe esophageal and gastric chemical burn, and failure of colon interposition graft. The second patient had a leak o...

Total laparoscopic-assisted radical gastrectomy and the jejunal Roux-en-Y anastomosis were performed to treat cancer of the upper gastric body and fundic region. In the case of open anastomosis during total laparoscopic-assisted radical gastrectomy, an incision of 6-8 cm would be required due to the need for placing the stapler anvil. If using the Roux-en-Y procedure, however, the incision coul...

A 49-year-old man was referred for management of weight regain 3 years after Roux-en-Y gastric bypass (RYGB) surgery. He had gained 14kg in weight in the previous 6 months. Upper endoscopy revealed a 35-mm gastrojejunal anastomosis. Three sessions of transoral gastric outlet reduction over 7 months using endoscopic suturing (OverStitch; Apollo Endosurgery, Austin, Texas, USA) had not resulted i...

The commonest complication of hepaticojejunostomy for the management of biliary strictures is recurrent cholangitis. We report a 54-year-old man who underwent choledochojejunostomy after choledochal cyst excision, and later developed ischemic stricture of the Roux-en-Y loop intestinal loop and recurrent cholangitis. The stricturous intestinal loop was excised with re-anastomosis with new Roux-e...

The method of choice for the treatment of choledochal cysts in children is excision of the cyst and Roux-en-Y (RY) choledochoenterostomy. When the ratio of the diameter of the main hepatic ductus to that of the proximal RY jejunum is 1:2.5 or lower during choledochoenterostomy, end-to-end anastomosis is recommended. However, this method may cause a difference in diameters between the ends. Here...

BACKGROUND Roux-en-Y reconstructive surgery excludes the biliopancreatic system from conventional endoscopic access. Balloon-assisted enteroscopy allows therapeutic endoscopic retrograde cholangiopancreatography (ERCP) in these patients, avoiding rescue surgery. The objective of the current study is to compare success and complication rate of double-balloon (DBE) and single-balloon enteroscope ...