scholarly journals Petersen's Hernia after Subtotal Gastrectomy with Billroth II Gastrojejunostomy for Gastric Cancer: A Specific CT Finding

2018 ◽  
Vol 79 (2) ◽  
pp. 88
Author(s):  
Hwan Kim ◽  
Yong Eun Chung ◽  
Woo Jin Hyung ◽  
Joon Seok Lim
2007 ◽  
Vol 52 (8) ◽  
pp. 1757-1763 ◽  
Author(s):  
Corrado Pedrazzani ◽  
Daniele Marrelli ◽  
Bernardino Rampone ◽  
Alfonso De Stefano ◽  
Giovanni Corso ◽  
...  

2016 ◽  
Vol 101 (3-4) ◽  
pp. 194-200 ◽  
Author(s):  
Sung-Heun Kim ◽  
Jong-Young Oh ◽  
Ki-Han Kim ◽  
Min-Chan Kim

The aim of this study was to evaluate the clinical characteristics, treatment, and prognosis of afferent loop syndrome (ALS) following radical subtotal gastrectomy with B-II reconstruction in gastric cancer patients. ALS is an infrequent mechanical complication, which occurs after reconstruction of Billroth-II (B-II) gastrojejunostomy or Roux-en-Y esophagojejunosotomy. From 2002 through 2010, 672 patients who had undergone subtotal gastrectomy with B-II reconstruction for gastric cancer were enrolled. Clinical data, symptom interval, cause, and treatment of 13 ALS patients were reviewed. The body mass index (BMI) of patients who suffered ALS was significantly less than that of patients who did not (P = 0.0244). And, there were significant differences in rates of recurrence (P = 0.0032) and follow-up duration (P = 0.0119) between the two groups. Acute ALS within 1 month occurred in 5 patients (38.5%). Obstructive jaundice or acute pancreatitis occurred in 4 patients (30.1%). The most frequent cause was anastomosis inflammation (6 patients). Only 2 patients required surgery. Most patients with ALS were treated conservatively with or without percutaneous transhepatic biliary drainage (PTBD). Clinical suspicion is of significant importance because ALS is not common and the symptoms are nonspecific. ALS occurs more frequently in low BMI patients than high. PTBD can be considered as a primary treatment option for ALS if rupture of the afferent loop is not present.


2021 ◽  
pp. 67-72
Author(s):  
Sung Jin Oh

Liver metastasis from gastric cancer has a very poor prognosis. Herein, we present two cases of liver metastases (synchronous and metachronous) from advanced gastric cancer. In the first case, the patient underwent radical subtotal gastrectomy. Liver metastases occurred 6 months after surgery while the patient was receiving adjuvant chemotherapy, but two hepatic tumors were successfully removed by radiofrequency ablation (RFA). In the second case, liver metastases occurred 15 months after surgery for gastric cancer. The patient also received RFA for one hepatic tumor, and other suspicious metastatic tumors were treated with systemic chemotherapy. Although these case presentations are limited for the efficacy of RFA treatment with systemic chemotherapy for hepatic metastases from gastric cancer, our findings showed long-term survival (overall survival for 108 and 67 months, respectively) of the affected patients, without recurrence. Therefore, we suggest that RFA treatment with systemic chemotherapy could be an effective alternative treatment modality for hepatic metastases from gastric cancer.


2020 ◽  
Vol 26 (43) ◽  
pp. 6837-6852
Author(s):  
Hao Liu ◽  
Peng Jin ◽  
Fu-Hai Ma ◽  
Shuai Ma ◽  
Yi-Bin Xie ◽  
...  

2020 ◽  
Vol 2 (1) ◽  
pp. 18-21
Author(s):  
Francesco Giovanardi

Robotic systems have revolutionized the way we perform minimally invasive surgery and has facilitated the evolution of traditional laparoscopic gastric surgery. Surgeons have several advantages that can overcome some of the well-known limits of laparoscopy: three-dimensional vision, articulated instruments, the absence of tremors. These can give greater dexterity and precision in dissection and suturing movements that are key elements when performing complex and gentle reconstruction to restore digestive continuity. The present case shows the technical details and tips and tricks of a robotic surgical approach for a subtotal gastrectomy.


2009 ◽  
Vol 100 (1) ◽  
pp. 80-81 ◽  
Author(s):  
Jong Yeul Lee ◽  
Keun Won Ryu ◽  
Soo-Jeong Cho ◽  
Chan Gyoo Kim ◽  
Il Ju Choi ◽  
...  

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