in patients with obstruction of the gastric outlet secondary to advanced malignancies.
Anastomotic stricture--The surgically created gastrojejunostomy
stoma usually has a diameter of approximately 1 to 2 cm, yet stenosis can occur.
Therapeutic options for local palliation of symptoms such as nausea, pain, obstruction, and bleeding include palliative gastrectomy, surgical bypass via gastrojejunostomy
, radiation therapy, and endoscopic stent placement.
In our study, we found statistically significant reduction in anastomotic time in stapled group than hand-sewn group in oesophagojejunostomy and jejunojejunostomy, gastrojejunostomy
, ileocolic anastomosis and colorectal anastomosis with p-value < 0.05.
Since the patient history included subtotal gastrectomy, antecolic gastrojejunostomy
, and Braun's anastomosis, first, the previous anastomosis was removed and the passage was unobstructed using Roux-en-Y gastrojejunostomy
In patients who are refractory to nutrition therapy or have anatomic abnormalities as the underlying etiology, surgical intervention such as Strong's procedure,[sup] gastrojejunostomy
, or duodenojejunostomy [sup] may be considered.
Pancreaticoduodenectomy (Whipple's procedure) with pancreaticojejunostomy, hepaticojejunostomy and gastrojejunostomy
Different surgical approaches are possible for patients for whom medical intervention is unsuccessful and include lysis of the ligament of Treitz, also known as Strong's procedure, gastrojejunostomy
, and duodenojejunostomy.
was done using absorbable surgical suture.
26% young versus 10% old patients underwent only palliative gastrojejunostomy
. The most common operation was lower partial gastrectomy in 68% versus 49%.
Palliative surgical biliary drainage is also effective and has the advantage of allowing the addition of a gastrojejunostomy
if duodenal obstruction is present or imminent.
The jejunum is separated 30 cm to 40 cm distal from the ligament of Treitz and mobilized from the mesentery to form a gastrojejunostomy
with side-to-side anastomosis.