OBJECTIVE To determine whether the elimination of bile reflux in the established esophagojejunostomy model of Barrett's esophagus (BE) will reduce or eliminate the risk of developing esophageal adenocarcinoma. SUMMARY BACKGROUND DATA Reflux of duodenal juice as well as gastric acid plays an important role in the pathogenesis of BE and adenocarcinoma. Duodenoesophageal reflux (DER) per se indu...

ABST RACT Introduction: This study sought to determine the utility of the methylene blue test for evaluating esophagojejunostomy anastomosis. Materials and Methods: The study analyzed 65 patients with gastric cancer who underwent total gastrectomy and esophagojejunostomy anastomosis. The patients were divided into two groups. In Group A (n= 30), methylene blue was used to evaluate the esophagoj...

Background: There have been several attempts to develop a unique and easier way to perform esophagojejunostomy during laparoscopy-assisted total gastrectomy or laparoscopy-assisted proximal gastrectomy. The OrVilTM system (Covidien, Mansfield, MA, USA) is one of those methods, but its technical and oncologic feasibility have not been proven and need to be observed. Methods: Among 87 patients wh...

BACKGROUND Laparoscopic procedures are increasingly being applied to gastric cancer surgery, including total gastrectomy for tumors located in the upper gastric body. Even for expert surgeons, esophagojejunostomy after laparoscopy-assisted total gastrectomy (LATG) can be technically challenging. We perform the overlap method of esophagojejunostomy after LATG for gastric cancer. However, technic...

BACKGROUND There have been several attempts to develop a unique and easier way to perform esophagojejunostomy during laparoscopy-assisted total gastrectomy or laparoscopy-assisted proximal gastrectomy. The OrVil system (Covidien, Mansfield, MA, USA) is one of those methods, but its technical and oncologic feasibility have not been proven and need to be observed. METHODS Among 87 patients who ...

Fistula from esophagojejunostomy is still one of the most feared complications after total gastrectomy. Despite the development of new surgical devices and techniques, it remains a major concern with an incidence around 5%10. The use of endoscopic stents has brought the possibility of another form of fistula treatment3. However, this technique hasn ́t yet been fully incorporated into clinical pr...

Enteral feeding tube placement has been described in veterinary medicine for several years. Indications include oral, esophageal, gastrointestinal, pancreatic, hepatic, and neurologic diseases. In this paper, endoscopically assisted placement of an esophagojejunostomy (EJ) feeding tube in dogs with pancreatitis and prolonged anorexia is described. To the author's knowledge there are no publishe...

Single-incision laparoscopic total gastrectomy for gastric cancer has recently been reported by Seoul National University Bundang Hospital. However, this is not a popular procedure primarily because of the technical difficulties involved in achieving consistent intracorporeal esophagojejunostomy. At Seoul National University Bundang Hospital, we recently introduced a simple, easy-to-use, low-pr...

BACKGROUND We aimed to report the feasibility and safety of the technique after laparoscopy-assisted total gastrectomy (LATG) or laparoscopy-assisted proximal gastrectomy (LAPG): intracorporeal circular stapling esophagogastrostomy/esophagojejunostomy using the reverse puncture device (RPD). METHODS Laparoscopy-assisted esophagogastrostomy/esophagojejunostomy was performed in 14 gastric cance...