Accurate endoscopic identification of the afferent limb at the Y anastomosis using the fold disruption sign after gastric resection with Roux‐en‐Y reconstruction

2021 ◽  
Author(s):  
Yoshihide Kanno ◽  
Tetsuya Ohira ◽  
Fumisato Kozakai ◽  
Kazuaki Miyamoto ◽  
Hiroaki Kusunose ◽  
...  
Keyword(s):  
Gastric Resection ◽  
Afferent Limb

scholarly journals Endoscopic ultrasound for choledocholithiasis in Billroth II altered anatomy

2020 ◽  
pp. 128-131
Author(s):  
T. L. Silina ◽  
Yu. B. Busyrev ◽  
A. B. Shalygin ◽  
A. S. Vorotyntsev ◽  
A. Yu. Emelyanov ◽  
...  
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Patient Management ◽  
Diagnostic Method ◽  
Gastric Resection ◽  
Gastric Stump ◽  
Billroth Ii ◽  
Afferent Limb ◽  
The Common ◽  
Upper Gastrointestinal

Background and Objectives: Increasing application of EUSguided biliary drainage, however, does not determine the capabilities of complete EUSinvestigation of the common bile duct in patients with surgically altered upper gastrointestinal anatomy. The purpose of this study is to evaluate the specifi city and eff ectiveness of EUS for choledocholithiasis in a patient with Billroth II altered anatomy.Patient and Methods: A 61-year-old female patient underwent a Billroth II gastric resection about 25 years ago. Choledocholithiasis was diagnosed a year ago. At the present examination, the results of ultrasound and MRCP were doubtful. Gastroscopy showed the ability to intubate the afferent limb with accessible papilla. EUS was performed to decide on further patient management.Results: The common bile duct EUS-visualization was performed both from the gastric stump and from the afferent limb. The differences of intubating the afferent limb in comparison with the EGD, as well as the differences of the ultrasound picture in comparison with the traditional EUS of CBD were determined. Two CBD stones were detected by scanning from the afferent limb. ERCP was done in the same sedation session with balloon papilla dilatation and both stones lithoextraction. Laparoscopic cholecystectomy was performed on the second day without complications. The patient was discharged from the hospital on the fifth day after surgery. Within 10 months she feels well, no complaints.Conclusions: EUS can be diagnostic method of choice for choledocholithiasis in patients with Billroth II altered anatomy if intubation of the afferent limb was confirmed endoscopically.

Partial Gastric Resection for Peptic Ulcer of the Esophagus

1950 ◽  
Vol 16 (4) ◽  
pp. 720-725
Author(s):  
Albert Cornell ◽  
Asher Winkelstein
Keyword(s):  
Peptic Ulcer ◽  
Gastric Resection

Short bowel syndrome after Billroth II gastric resection

2004 ◽  
Vol 42 (05) ◽  
Author(s):  
Z Nagy ◽  
A Illés ◽  
Á Király ◽  
L Nagy
Keyword(s):  
Short Bowel Syndrome ◽  
Gastric Resection ◽  
Billroth Ii ◽  
Short Bowel

Change in Pancreatic Size after Gastric Resection: CT Evaluation

1994 ◽  
Vol 31 (1) ◽  
pp. 115
Author(s):  
Byung Kook Kwak ◽  
Young Goo Kim ◽  
Dae Sik Ryu ◽  
Jong Beum Lee ◽  
Hyung Jin Shim ◽  
...  
Keyword(s):  
Gastric Resection ◽  
Ct Evaluation

Renal Excretion of Gastrografin after Oral Administration: Clinical Significance in Gastric Resection Patients

1998 ◽  
Vol 39 (2) ◽  
pp. 373
Author(s):  
Kyung Myung Sohn ◽  
Oh Han Kwon ◽  
Sung Yong Lee ◽  
Jong Kwan Joo ◽  
Jae Hee Lee ◽  
...  
Keyword(s):  
Oral Administration ◽  
Clinical Significance ◽  
Gastric Resection ◽  
Renal Excretion

Complications of postlaparoscopic sleeve gastric resection: review of surgical technique

2019 ◽  
Vol 74 (3) ◽  
Author(s):  
Antonio Giuliani ◽  
Lucia Romano ◽  
Eleonora Papale ◽  
Ilaria Puccica ◽  
Marino Di Furia ◽  
...  
Keyword(s):  
Surgical Technique ◽  
Gastric Resection

scholarly journals Successful treatment of recurrent volvulus in the afferent limb of the pouch following proctocolectomy for ulcerative colitis: a case report

2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Michio Itabashi ◽  
Yoshiko Bamba ◽  
Hisako Aihara ◽  
Kimitaka Tani ◽  
Ryousuke Nakagawa ◽  
...  
Keyword(s):  
Ulcerative Colitis ◽  
Abdominal Pain ◽  
Lower Abdominal Pain ◽  
Anterior Wall ◽  
Middle Part ◽  
Presacral Space ◽  
Previous Surgery ◽  
Afferent Limb ◽  
Radiographic Findings ◽  
Oral Side

Abstract Background Pouch volvulus after proctocolectomy for ulcerative colitis is a very rare postoperative complication. The common site of pouch volvulus has been reported to be the ileal pouch–anal anastomosis and the middle part of the pouch, but no reports on pouch volvulus in the afferent limb of the pouch have been observed. Here, we report the case of a patient with afferent limb volvulus who underwent afferent limbpexy, but required reoperation 7 months later. Case presentation A 38-year-old man with refractory ulcerative colitis had undergone open proctocolectomy 10 years ago at another hospital. He had been aware of lower abdominal pain and bowel movement difficulty for 2 years. After repeated bowel obstruction, he was referred to our hospital for surgery. Based on the radiographic findings, we diagnosed a pouch volvulus and performed an operation. Laparoscopically, counterclockwise rotation of the afferent limb of the pouch was recognized. Moreover, the ileal mesentery was adhered and fixed to the presacral space 20 cm from the oral side of the pouch. The antimesenteric side of the afferent limb was fixed using interrupted stiches on the left peritoneal wall of the pelvis. He was discharged uneventfully 18 days after surgery, and defecation improved immediately. However, he was readmitted 7 months after surgery with the same abdominal pain and defecation difficulty. A similar finding was found and diagnosed as recurrent volvulus. Therefore, we performed a laparoscopic surgery. The same volvulus as in the previous surgery was confirmed. The site fixed during the previous surgery showed scars, but the afferent limb was free. The dilated ileum that contained the volvulus was excised only on the oral side of the pouch and an intraluminal anastomosis was performed on the anterior wall of the pouch. He had a good postoperative course and was discharged. Conclusion Proper diagnosis of volvulus based on the characteristic imaging findings is important. In principle, bilateral row fixation of the rotated ileum is the basic procedure for volvulus. However, fixation with this technique is sometimes difficult. Therefore, this procedure is one of the useful options for the fixation of difficult or recurrent cases.

Alternative methods for restoring gastrointestinal continuity after gastric resection for carcinoma

1936 ◽  
Vol 32 (3) ◽  
pp. 405-410 ◽  
Author(s):  
Donald C. Balfour
Keyword(s):  
Gastric Resection ◽  
Alternative Methods
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