Strangulated Jejunogastric Intussusception: A Unique Complication Following Billroth II Reconstruction

2022 ◽  
pp. 000313482110545
Author(s):  
Jacob D. Edwards ◽  
Dylan Flood ◽  
Katherine McBride ◽  
Walter Pories ◽  
Eric A. Toschlog
Keyword(s):  
Billroth Ii ◽  
Billroth Ii Reconstruction ◽  
Jejunogastric Intussusception

Jejunogastric intussusception after distal gastrectomy with Billroth II reconstruction

2019 ◽  
Vol 23 (4) ◽  
pp. 170-173
Author(s):  
Shiu‐Yan Ng ◽  
Chun‐Wang Yiu ◽  
Ka‐Fai Wong ◽  
Siu‐Kee Leung
Keyword(s):  
Distal Gastrectomy ◽  
Billroth Ii ◽  
Billroth Ii Reconstruction ◽  
Jejunogastric Intussusception

scholarly journals A rare cause of coffee-ground vomiting: Retrograde jejunogastric intussusception

2012 ◽  
Vol 16 (2) ◽  
pp. 72-73
Author(s):  
Kiran Gangadhar
Keyword(s):  
Surgical Intervention ◽  
Billroth Ii ◽  
Billroth Ii Reconstruction ◽  
Coffee Ground ◽  
Jejunogastric Intussusception ◽  
To Come

Retrograde jejunogastric intussusception is a well-recognised, rare, but potentially fatal long-term complication of gastrojejunostomy or Billroth II reconstruction. Only about 200 cases have been reported in the literature to date. Diagnosis of this condition is difficult in most cases. To avoid mortality, earlydiagnosis and prompt surgical intervention is mandatory. Since gastrojejunostomies with vagotomy are on a declining trend, it is extremely rare to come across such a complication. We report on such a patient who presented with haematemesis.

Postoperative Complications and Functional Results After Subtotal Gastrectomy with Billroth II Reconstruction for Primary Gastric Cancer

2007 ◽  
Vol 52 (8) ◽  
pp. 1757-1763 ◽  
Author(s):  
Corrado Pedrazzani ◽  
Daniele Marrelli ◽  
Bernardino Rampone ◽  
Alfonso De Stefano ◽  
Giovanni Corso ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Postoperative Complications ◽  
Subtotal Gastrectomy ◽  
Functional Results ◽  
Billroth Ii ◽  
Primary Gastric Cancer ◽  
Billroth Ii Reconstruction

scholarly journals BILE DUCT-JEJUNUM ANASTOMOSIS FOR COMMON BILE DUCT STONES AFTER GASTRECTOMY WITH BILLROTH II RECONSTRUCTION

2006 ◽  
Vol 67 (11) ◽  
pp. 2675-2678
Author(s):  
Daisuke KOBAYASHI ◽  
Ichiro HONDA ◽  
Takeshi KANEKO ◽  
Tsuyoshi KATO ◽  
Masahiro MORI
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Common Bile Duct Stones ◽  
Bile Duct Stones ◽  
Billroth Ii ◽  
Billroth Ii Reconstruction

scholarly journals CLINICAL EVALUATION OF POSTOPERATIVE PANCREATIC FUNCTION AND COMPLICATION AFTER TOTAL GASTRECTOMY WITH BILLROTH-I AND BILLROTH-II RECONSTRUCTION

1990 ◽  
Vol 51 (8) ◽  
pp. 1649-1654 ◽  
Author(s):  
Haruhiko NAGAMI ◽  
Katsuhiro TAMURA ◽  
Seikon KIN ◽  
Tohru ISHIDA ◽  
Tsuyoshi YAMAMOTO ◽  
...  
Keyword(s):  
Total Gastrectomy ◽  
Clinical Evaluation ◽  
Pancreatic Function ◽  
Billroth Ii ◽  
Billroth I ◽  
Billroth Ii Reconstruction

PS01.065: MAGNETIC SPHINCTER AUGMENTATION AS AN EFFECTIVE ALTERNATIVE TO ROUX-EN-Y CONVERSION AFTER BILLROTH II GASTRECTOMY

2018 ◽  
Vol 31 (Supplement_1) ◽  
pp. 68-68
Author(s):  
Veronica Lazzari ◽  
Emanuele Asti ◽  
Andrea Sironi ◽  
Matteo Melloni ◽  
Luigi Bonavina
Keyword(s):  
Gastroesophageal Reflux ◽  
Hiatus Hernia ◽  
Acid Reflux ◽  
Jejunal Loop ◽  
Esophageal Wall ◽  
Magnetic Sphincter Augmentation ◽  
Billroth Ii ◽  
Biliary Reflux ◽  
Billroth Ii Gastrectomy ◽  
Billroth Ii Reconstruction

Abstract Background Background and hypothesis Conversion into a 60 cm Roux-en-Y jejunal loop is the most common remedial procedure in patients with gastroesophageal reflux after Billroth II gastrectomy. While this allows diversion of bilio-pancreatic secretions, symptomatic acid reflux may persist in the presence of a mechanically incompetent lower esophageal sphincter. We hypothesized that magnetic sphincter augmentation (MSA) may relieve symptoms and control esophagitis by reducing both acid and biliary reflux. Methods Methods A 70 year-old male patient presented with intractable reflux symptoms and grade B esophagitis 46 years after partial gastrectomy and Billroth II reconstruction for perforated gastric ulcer. The patient underwent extensive diagnostic evaluation. There was a 3 cm hiatus hernia, grade B esophagitis, and hyperemia of the gastrojejunal anastomosis. Biopsies were negative for malignancy and Helicobacter Pylori. pH-impedance testing showed combined acid and non-acid reflux; esophageal peristalsis was normal on high-resolution manometry. After informed consent, the patient preferred the option of laparoscopic MSA versus open laparotomy and Roux-en-Y conversion. Pneumoperitoneum was established with a Hasson trocar. After adhesiolysis, a hiatus hernia with retroesophageal lipoma was identified. The gastroesophageal junction was completely reduced in the abdominal cavity and a posterior crural repair was performed. A tunnel was made between the esophageal wall and the posterior vagus nerve and a no. 16 MSA (Linx®) device was applied. Results Results The postoperative course was uneventful and the patient was discharged home on postoperative day one. At 1- and 6-month follow-up visit the patient was off-medication, tolerated a free diet, and did not complain of any reflux symptom. The mean GERD-HRQL score decreased from 26 to 2 compared to baseline. A barium swallow confirmed the complete reduction of the hiatal hernia and the absence of reflux in the Trendelenburg position. Esophagitis was completely healed. Conclusion Conclusions To the best of our knowledge, this is the first case of MSA implant for refractory gastroesophageal reflux disease after Billroth II gastrectomy. This simple laparoscopic procedure allowed correction of both acid and biliary reflux. Disclosure All authors have declared no conflicts of interest.

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