A novel technique of laparoscopic gastrojejunostomy-modified Devine exclusion with vertical stomach reconstruction-for gastric outlet obstruction to preventing blow-out of the distal gastric remnant and delayed in return of gastric emptying.
A loop gastroenterostomy is the most commonly applied palliative procedure in patients with gastroduodenal outflow obstruction (GOO) caused by unresectable advanced gastric and pancreatic cancer. We developed a laparoscopic modified Devine exclusion with vertical stomach reconstruction, and assessed this alternative laparoscopic technique. We consider that our laparoscopic modified Devine exclusion with vertical stomach reconstruction is an easy and feasible technique for GOO.
Oida
Takatsugu
T
Department of Surgery, Social Insurance Yokohama Central Hospital, 268 Yamashita-cho, Naka-ku, Yokohama 231-8553, Japan. ooida.takatsugu@yokochu.jp
Mimatsu
Kenji
K
Kawasaki
Atsushi
A
Kano
Hisao
H
Kuboi
Youichi
Y
Amano
Sadao
S
D000368:Aged; D005260:Female; D005746:Gastric Emptying; D017219:Gastric Outlet Obstruction / Q000209:etiology* / Q000601:surgery*; D005763:Gastroenterostomy / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D010166:Palliative Care; D019651:Plastic Surgery Procedures; D013274:Stomach Neoplasms / Q000150:complications* / Q000601:surgery*; D015996:Survival Rate; D016896:Treatment Outcome