Laparoscopic jejuno-jejunostomy for afferent loop stasis following truncal vagotomy with posterior gastro-jejunostomy for pyloric stenosis.
A 47-year-old man presented with epigastric pain relieved by bilious vomiting since one month. He had undergone truncal vagotomy with posterior gastrojejunostomy for benign gastric outlet obstruction 2 years ago. Endoscopy showed distension and stasis in the afferent loop, bile gastritis and esophagitis. Laparoscopic Braun jejunojejunostomy relieved his symptoms.
Department of Surgery, Rajah Muthiah Medical College and Hospital, Annamalai University, Annamalainagar. rangy68@hotmail.com
M
M
Rangarajan
C S
CS
Subramanian
T A
TA
Chandralathan
G
G
Senthilkumar
D005743:Gastrectomy / Q000009:adverse effects; D017219:Gastric Outlet Obstruction / Q000601:surgery; D006801:Humans; D007582:Jejunostomy / Q000009:adverse effects / Q000379:methods; D008297:Male; D008875:Middle Aged; D011178:Postgastrectomy Syndromes / Q000175:diagnosis* / Q000601:surgery*; D011707:Pyloric Stenosis / Q000601:surgery; D015167:Vagotomy, Truncal