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Upper GI Crohn’s Disease
Published in Peter Sagar, Andrew G. Hill, Charles H. Knowles, Stefan Post, Willem A. Bemelman, Patricia L. Roberts, Susan Galandiuk, John R.T. Monson, Michael R.B. Keighley, Norman S. Williams, Keighley & Williams’ Surgery of the Anus, Rectum and Colon, 2019
Diane Mege, Janindra Warusavitarne, Yves Panis
Gastrojejunostomy is usually performed in a retrocolic fashion. Gastroduodenostomy requires adequate mobilisation of the duodenum to achieve an anastomosis to the distal stomach. When the stomach is involved, the gastrojejunostomy is more frequently performed than gastroduodenostomy (see Table 60.5).
G
Published in Anton Sebastian, A Dictionary of the History of Medicine, 2018
Gastroduodenostomy [Greek: gaster, stomach + duo deni, twelve + tome, cutting] Excision of the pyloric end of the stomach followed by a procedure of axial anastomosis with the duodenum, was described by Emile Jules Pean (1830–1898) of Paris in 1879. Gastroduodenostomy was performed by Mathieujaboulay (1860–1913) of Paris in 1892.
Pyloric atresia and prepyloric antral diaphragm
Published in Prem Puri, Newborn Surgery, 2017
Alessio Pini Prato, Vincenzo Jasonni, Girolamo Mattioli
Depending on the type of pyloric obstruction, different operative procedures are used. The best results from operative treatment of membranous obstruction are obtained by excision of the membrane associated to pyloroplasty according to Heineke–Mikulicz or Finney.1–4 Transgastric excision of the pyloric membrane without pyloroplasty has also been reported.28 In case of longitudinal segmental atresia, the operative method depends on the length of the atresia. When the atresia is short, a Finney pyloroplasty can be carried out. For longer atresia, the procedure of choice is excision and end-to-end gastroduodenostomy.4 Gastrojejunostomy is not recommended, due to the high mortality rate4 and because of the risk of marginal ulcer and blind loop syndrome.
Linear Stapler versus Circular Stapler for Patients Undergoing Anastomosis for Laparoscopic Gastric Surgery: A Meta-Analysis
Published in Journal of Investigative Surgery, 2022
Tao Jin, Han-Dong Liu, Ze-Hua Chen, Jian-Kun Hu, Kun Yang
As of November 2020, 465 relevant articles have been published, out of which 32 articles [10–12, 14–42], containing seven prospective studies, 23 retrospective studies, one nonrandomized controlled trial, and one randomized controlled trial, met the criteria of our investigation; the flow diagram is shown in Figure 1. The study population comprised 54,530 patients (2983 with gastric cancer and 51,547 with obesity), of which 42,805 patients (1549 patients with gastric cancer and 41,256 with obesity) received linear stapling (78.5%) and 11,725 patients (1434 with gastric cancer and 10,291 with obesity) received circular stapling (21.5%). There were 19 studies on gastrojejunostomy, three on gastroduodenostomy, nine on esophagojejunostomy, one on esophagogastrostomy, and none on enteroenteric anastomosis. Additionally, there were 10 articles from the East Asian countries and 22 from Western countries. Twenty articles involved patients with obesity and 12 involved those with gastric cancer. Furthermore, four studies described the extent of lymph node dissection, with 62 and 221 patients from Korea and Japan, respectively, undergoing D1, D1+/D2 lymph node dissection in LSs, while 66 and 481 patients underwent D1, D1+/D2 lymph node dissection in LSs, respectively. The baseline characteristics of the included studies are presented in Table 1a.
Primary gastric lymphoma: A report of 16 pediatric cases treated at a single institute and review of the literature
Published in Pediatric Hematology and Oncology, 2020
Nilgün Kurucu, Canan Akyüz, Bilgehan Yalçın, İnci Y. Bajin, Ali Varan, Diclehan Orhan, İbrahim Karnak, Burça Aydın, Tezer Kutluk
In total, 11 patients underwent exploratory laparotomy. Six of them were found to be inoperable, and only biopsy was done. Gastrojejunostomy was performed without resection of the tumor in another patient. Furthermore, in Patient 5, solitary perforation over the gastric body was observed during surgery. The perforation was repaired, and gastrojejunostomy was performed. Subtotal gastrectomy with gastroduodenostomy or gastrojejunostomy was performed in three other patients. Five patients received radiotherapy to the tumor location. In Patient 7, radiotherapy was applied after two courses of chemotherapy because of progressive disease and obstructive jaundice. Chemotherapy could not be continued in Patient 11 because of severe hematological toxicity, and radiotherapy was applied. All patients except two were treated with various chemotherapeutic regimens including LSA2L2 and LMB protocols, depending on year of diagnosis and histopathological subtypes. Malignant lymphoid proliferation in the patient with MZL was resolved after H. pylori eradication.
Lactose after Roux-en-Y gastric bypass for morbid obesity, is it a problem?
Published in Scandinavian Journal of Gastroenterology, 2020
F. Westerink, H. Beijderwellen, I. L. Huibregtse, M. L. A. De Hoog, L. M. De Brauw, D. P. M. Brandjes, V. E. A Gerdes
RYGB can cause multiple food intolerances. Many patients experience gastrointestinal complaints after consuming carbohydrate and fat dense food [5,6]. Complaints are also frequently reported after dairy consumption, like nausea, bloating and diarrhoea [7], which can lead to avoiding dairy products. Lactose malabsorption may be the cause of this intolerance. It has been described after Billroth gastroduodenostomy and gastrojejunostomy [8,9].