scholarly journals Roentgen examination of the afferent jejunal loop and duodenum after partial gastrectomy — Billroth II

1958 ◽  
Vol 49 (2) ◽  
pp. 120-122 ◽  
Author(s):  
Seppo Kajas
Keyword(s):  
Partial Gastrectomy ◽  
Jejunal Loop ◽  
Billroth Ii ◽  
Roentgen Examination

Billroth II procedure for the treatment of spontaneous gastrointestinal perforation in two cats

2021 ◽  
pp. 1-7
Author(s):  
Marc A. Barandun ◽  
Ronan A. Mullins ◽  
Ulrich Rytz
Keyword(s):  
Quality Of Life ◽  
Partial Gastrectomy ◽  
Exploratory Laparotomy ◽  
Clinical Findings ◽  
Billroth Ii ◽  
Additional Surgery ◽  
Peritoneal Effusion ◽  
Short Period ◽  
Reference Limits

Abstract CASE DESCRIPTION A 9-year-old castrated male domestic shorthair cat (cat 1) and a 10-year-old castrated male Maine Coon cat (cat 2) were presented for recurrent feline lower urinary tract disease after receiving outpatient care from their primary veterinarians. CLINICAL FINDINGS Physical examination findings for both cats were initially within reference limits. After a short period of hospitalization, both cats developed peritoneal effusion; results of cytologic analysis of a sample of the fluid were consistent with septic peritonitis. During exploratory laparotomy, perforation of the pylorus or proximal portion of the duodenum secondary to ulceration was identified. TREATMENT AND OUTCOME Both cats underwent partial duodenectomy, partial gastrectomy (pylorectomy), and gastrojejunostomy (Billroth II procedure). The cats recovered from surgery and returned to a normal quality of life; however, each had mild episodes of anorexia but maintained a stable body weight. Cat 2 required additional surgery for trichobezoar removal 7 weeks later but recovered quickly. At 7 months after trichobezoar removal, cat 2 developed intermittent vomiting, but clinicopathologic, abdominal ultrasonographic, and upper gastrointestinal tract endoscopic findings were within reference limits. At 9 (cat 2) and 13 (cat 1) months after the Billroth II procedure, both cats were reported to be in good general health and without gastrointestinal signs. CLINICAL RELEVANCE In both cats, the Billroth II procedure was technically straightforward and associated with a full recovery and good medium- to long-term quality of life. A Billroth II procedure could be considered for treatment of cats with large mural lesions in the pyloroduodenal region.

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.

Gastric emptying after partial gastrectomy without vagotomy with primary Roux-en-Y or Billroth II anastomosis

1989 ◽  
Vol 10 (10) ◽  
pp. 715-722 ◽  
Author(s):  
P. N.M.A. RIEU ◽  
M. J.P.G. VAN KROONENBURGH ◽  
J. B.M.J. JANSEN ◽  
H. J.M. JOOSTEN ◽  
C. B.H.W. LAMERS
Keyword(s):  
Gastric Emptying ◽  
Partial Gastrectomy ◽  
Billroth Ii ◽  
Billroth Ii Anastomosis

scholarly journals Gastric adenocarcinoma with choriocarcinomatous differentiation in the remnant stomach, 54 years after Billroth II partial gastrectomy

2016 ◽  
Vol 6 (2) ◽  
pp. 133-136
Author(s):  
Mehmet Yildirim ◽  
Nazif Erkan ◽  
Enver Vardar ◽  
Enver Ilhan ◽  
Zehra Erkul
Keyword(s):  
English Language ◽  
Gastric Resection ◽  
Treatment Strategies ◽  
Partial Gastrectomy ◽  
Remnant Stomach ◽  
Endoscopic Examination ◽  
Gastric Remnant ◽  
Benign Diseases ◽  
Billroth Ii ◽  
First Case

The gastric remnant cancer is defined as a cancer that has developed 5 or more years after distal gastric resection for benign diseases of the stomach. The choriocarcinomatous differentiation of adenocarcinoma in the stomach is a very rare tumor. A 75-year-old woman underwent resection of remnant stomach which she had operated for benign gastric pathology 54 years ago. Pathologic examination of the resection revealed areas of choriocarcinomatous differentiation in addition to classical adenocarcinoma. In the literature on English language, this report presents the first case of adenocarcinoma associated with choriocarcinomatous differentiation in the gastric remnant. The treatment of these patients depends on the clinical setting, and early diagnosis is an important factor for the treatment strategies. Therefore, due to the probability of arising adenocarcinoma in the remnant stomach, the patient should be investigated with endoscopic examination periodically, despite the long postoperative period.

Sign in / Sign up

Export Citation Format

Share Document