Prospective randomized trial of laparoscopic gastrojejunostomy
versus duodenal stenting for malignant gastric outflow obstruction.
Although first reported in 1881, afferent and efferent loop obstructions have been better understood since the 1950s (1) following the popularity of Billroth II gastrectomy with gastrojejunostomy
A 68 year-old male who had undergone a gastrojejunostomy
seven years earlier as part of his surgical management for a duodenal ulcer refractory to medical treatment presented with epigastric discomfort, abdominal pain and vomiting of 10 days duration.
In theory, the anatomy of the MGB, with its loop gastrojejunostomy
(as opposed to the construction of a Roux limb), raises concerns about bile reflux in these patients
tube was used and additional holes were made in it to decompress the duodenum.
due to celiac disease), pancreas divisum (7% of autopsies), penetrating duodenal ulcer, gastric resection, gastrojejunostomy
with afferent loop syndrome, pancreas carcinoma, parasitic infection (e.
He is bed-ridden in a local nursing home, with elastic-crape bound legs, spinal braces and a gastrojejunostomy
feeding tube to date.
El Akkary agreed that the lack of a repeat upper GI procedure at 1 year was a limitation of the study, adding that it would be especially helpful in detecting patients with slow gastric emptying caused by edema at the gastrojejunostomy
His comparison of 564 open and 663 laparoscopic Roux-en-Y gastric bypass procedures revealed similar rates of mortality, anastomotic leaks, and gastrojejunostomy
stenosis in the two cohorts, which were matched for age, initial body mass index, and gender.
A less invasive option is a gastrojejunostomy
tube that bypasses the stomach.
001 Table 2 Procedures Performed with Nitrous Oxide at Children's Hospitals and Clinics of Minnesota Urethral catheterization Botulinum toxin injection CT scan Electromyelogram IV start Incision and drainage Peripherally inserted catheters Laceration suturing MRI--patient with chronic pain Lumbar puncture Intra-carotid sodium amytal test Barium enema Gastrostomy, gastrojejunostomy
tube change Joint injection Nasogastric tube insertion Abuse exam
Table 5) All of them underwent surgical correction with side-to-side retrocolic isoperistaltic gastrojejunostomy
and bilateral truncal vagotomy.