scholarly journals Three cases of Roux stasis syndrome after distal gastrectomy successfully treated with a W‐ED tube

2020 ◽  
Vol 54 (4) ◽  
pp. 211-215
Author(s):  
Takuji Kagiya ◽  
Akitoshi Kimura ◽  
Kensuke Okano ◽  
Takeyuki Sawano ◽  
Motonari Ohashi ◽  
...  
Keyword(s):  
Distal Gastrectomy ◽  
Roux Stasis Syndrome

scholarly journals Clinical Study of Roux Stasis Syndrome after Distal Gastrectomy

2008 ◽  
Vol 41 (8) ◽  
pp. 1551-1556 ◽  
Author(s):  
Takahiro Mimae ◽  
Motoki Ninomiya ◽  
Masahiko Nishizaki ◽  
Masao Harano ◽  
Hideki Aoki ◽  
...  
Keyword(s):  
Clinical Study ◽  
Distal Gastrectomy ◽  
Roux Stasis Syndrome

scholarly journals Fixation of Roux Limb and Duodenal Stump Effects the Prevention of Peterson’s Internal Hernia and Roux Stasis Syndrome After Laparoscopic Distal Gastrectomy

2019 ◽  
Author(s):  
Jian-zhong Wu ◽  
Hajime Orita ◽  
Shun Zhang ◽  
Hiroyuki Egawa ◽  
Yoshinori Kohira ◽  
...  
Keyword(s):  
Internal Hernia ◽  
Distal Gastrectomy ◽  
Rare Complication ◽  
Case Series ◽  
Laparoscopic Distal Gastrectomy ◽  
Roux Limb ◽  
Duodenal Stump ◽  
Alimentary Limb ◽  
Roux Stasis Syndrome ◽  
Petersen’S Hernia

Abstract Background Roux-en-Y (R-Y) reconstruction is a standard option for reconstruction after laparoscopic distal gastrectomy (LDG). Though this technique takes more time than Billroth I (B-I) reconstruction, leakage is rare, and it is useful for management of a small remnant stomach. Complications occur and include Petersen’s hernia and Roux stasis syndrome. Petersen’s hernia is a rare complication that results in significant morbidity and poor quality of life.Here we report a case series of a simple and effective method for preventing Petersen’s hernia and Roux stasis syndrome.Methods We performed ante-colic R-Y reconstruction after LDG. After R-Y reconstruction, we fixed the alimentary limb onto the duodenal stump in a proper radian. Via this small improvement in the Roux limb, the alimentary limb was placed to the right of the ligament of Treitz. This not only changed the anatomy of the Petersen’s defect, but it also kept a fluent direction of gastrointestinal anastomosis and avoided a cross-angle after jejunojejunostomy.Results From July 2015 to March 2017, we performed this technique in 31 consecutive patients. The operative time was (308.0 ± 84.6 minutes). Fixation of the alimentary limb onto the duodenal stump took about 10 minutes. Two (6.5%) patients experienced pneumonia and pancreatitis, respectively. No patient required reoperation or readmission. All patients were followed up for at least 2 years, and none of the patients developed postoperative complications related to internal hernia or Roux stasis syndrome.Conclusions This 10 minute technique is a very effective method to reduce the onset of Petersen’s hernia and Roux stasis syndrome in patients who undergo LDG.

Antecolic Reconstruction Is a Predictor of the Occurrence of Roux Stasis Syndrome After Distal Gastrectomy

2015 ◽  
Vol 19 (5) ◽  
pp. 821-824 ◽  
Author(s):  
Ryota Otsuka ◽  
Toshiyuki Natsume ◽  
Takashi Maruyama ◽  
Hajime Tanaka ◽  
Hiroshi Matsuzaki
Keyword(s):  
Distal Gastrectomy ◽  
Roux Stasis Syndrome

Evaluation of Hand-Assisted Laparoscopic Distal Gastrectomy for Patients with Early Gastric Cancer

2003 ◽  
Vol 52 (4) ◽  
pp. 717-725
Author(s):  
Yoshibumi NIITSUMA ◽  
Tsuneo KAWASAKI ◽  
Hajime TSUKUI ◽  
Yoshinobu TAKAHASHI ◽  
Masamitsu MAEDA ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Early Gastric Cancer ◽  
Distal Gastrectomy ◽  
Laparoscopic Distal Gastrectomy

scholarly journals Preoperatively diagnosed gastric collision tumor with mixed adenocarcinoma and gastrointestinal stromal tumor: a case report and literature review

2021 ◽  
Author(s):  
Kunihiko Matsuno ◽  
Yoshikazu Kanazawa ◽  
Daisuke Kakinuma ◽  
Nobutoshi Hagiwara ◽  
Fumihiko Ando ◽  
...  
Keyword(s):  
Gastrointestinal Stromal Tumor ◽  
Distal Gastrectomy ◽  
Submucosal Tumor ◽  
Smooth Muscle Actin ◽  
Collision Tumor ◽  
Stromal Tumor ◽  
Lower Body ◽  
Muscle Actin ◽  
First Case ◽  
S 100

AbstractReports of gastric collision tumors, comprising adenocarcinoma and gastrointestinal stromal tumor, are extremely rare. Here, we report the case of a 68-year-old male who was diagnosed with a lower-body, moderately differentiated, tubular-type adenocarcinoma and submucosal tumor and underwent an elective D2 distal gastrectomy. The tumor cells of the gastrointestinal stromal tumor were positive for H-caldesmon and CD117, weakly positive for smooth muscle actin and DOG-1, and negative for desmin, S-100 protein, CD31, and AE1/AE3. The tumor had grown into a mixed form of adenocarcinoma and gastrointestinal stromal tumor. Thus, we report the first case of a preoperatively diagnosed collision tumor in the stomach consisting of adenocarcinoma and gastrointestinal stromal tumor.

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