Palliative gastrojejunostomy |
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Authors: | R S Chung P Li |
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Institution: | (1) Department of Surgery, Meridia Huron Hospital, 13951 Terrace Road, Cleveland OH 44112, USA, US;(2) Hillcrest Hospital, 6780 Mayfield Road, Mayfield Heights, OH 44124, USA, US |
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Abstract: | Palliative bypass for neoplastic gastric outlet obstruction should be minimally invasive. We designed a laparoscopically
assisted approach that appears to meet the need. The proximal jejunum is exteriorized by laparoscopy via an epigastric trocar-site
incision. An EEA anvil is installed in the exteriorized jejunum, which is returned to the abdomen. Through this mini-incision,
the anterior wall of the stomach is opened for insertion of the EEA stapler, which penetrates the posterior gastric wall.
When snapped to the anvil and fired, an antecolic gastrojejunostomy is created. No mortality or anastomotic leak occurred
in two cases. The operation and recovery appeared to be faster than historic controls. This operation is minimally invasive
and expeditious, ideal for patients requiring palliative bypass.
Received: 28 June 1996/Accepted: 26 July 1996 |
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Keywords: | : Minimally invasive — Palliative gastrojejunostomy — Gastric outlet obstruction |
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