INTRODUCTION Intussusception after gastrectomy is a minor complication after gastrectomy, while common bile duct stone (CBD) is also a rare complication post cholecystectomy. We report a case that simultaneously caused both intussusception and CBD stone following gastrectomy with prophylactic cholecystectomy. CASE PRESENTATION A 74-year-old woman underwent distal gastrectomy with Roux-en-Y re...

BACKGROUND/AIMS After a distal resection of the stomach, the continuity of the gastrointestinal tract can be restored by either a gastroduodenal anastomosis (Billroth I), a gastrojejunal anastomosis (Billroth II) or a Roux-en-Y gastrojejunostomy. There is still no consensus on the reconstruction technique of choice. The aim of this report was to assess the value of Roux-en-Y (RY) gastrojejunost...

BACKGROUND Anastomotic or marginal ulcers occur in 0.6 to 16% of patients after laparoscopic Roux-en-Y-Gastric Bypass. Initial therapy aims at eliminating known risk factors including smoking, Helicobacter pylori infection, use of non-steroidal anti-inflammatory drugs and inhibition of gastric acid secretion. While this approach is successful in 68 to 88% of the cases, up to one third of patien...

INTRODUCTION The ideal reconstruction method for pancreaticoduodenectomy following a gastrectomy with Billroth II or Roux-en-Y reconstruction is unclear. METHODS We reviewed a series of seven pancreaticoduodenectomies performed after gastrectomy with the Billroth II or Roux-en-Y method. RESULTS While preserving the existing gastrojejunostomy or esophagojejunostomy, pancreaticojejunostomy an...

Recent developments in laparoscopic gastrectomy have led to the introduction of various methods of stapled anastomosis. We have also introduced stapled anastomosis to reconstruction of the digestive tract with the aim of performing safe and quick anastomosis and enabling an early return to oral feeding. Reconstruction of the digestive tract following pancreaticoduodenectomy in our institution i...

BACKGROUND In the 1990s, partial stomach-partitioning gastrojejunostomy (PSPG) was introduced. Benefits of this method are that it preferentially shunts food away from the obstructed duodenum or pylorus, thus reducing reflex emesis. METHODS A retrospective review of patients undergoing PSPG for malignant obstruction from 1999 to 2011 was performed. Ability to tolerate oral intake in the posto...

A 63-year-old man with a history of nonsmall cell lung cancer in remission following left upper lobe lobectomy was found to have a 5 cm mass along the inferior aspect of the stomach that had enlarged from a previous computed tomography (CT) scan. He underwent a Billroth II gastrectomy with resection of the mass, which was consistent with a metastasis of the primary tumor. Three weeks after abdo...