Laparoscopic Gastrojejunostomy
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Date
2010-03-14
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Royal Thai Airforce Medical Gazette
Abstract
Patients with gastric outlet obstruction as a result of chronic peptic ulceration are well suited to undergo gastrojejunostomy. Another group of gastric origin is those patients with obstructive gastric cancers, where extensive metastatic spread or associated medical illness determine that resection is ill advised, are suitable for palliative bypass. The extragastric benigh and malignant diseases with duodenal obstruction are also suitable for gastrojejunostomy if the resections could not be provided. Five patients with benigh and malignant gastric outlet obstructions underwent laparoscopic procedures. Laparoscopic truncal vagotomy and gastrojejunostomy were performed in two patients with chronic peptic ulcerations. Laparo-scopic gastrojejunostomy operated on two patients with malignant obstructions. Hand-assisted laparoscopic gastrojejunostomy was employed to a patient having previously choledo-choduodenostomy and pancreaticojejunostomy due to complicated chronic pancreatitis. All patients were successful managed by those laparoscopic procedures. Neither perioperative complications nor serious postoperative problems were detected. The satisfactory surgical outcomes were appeared during the hospitalization and the follow up schedules.
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Royal Thai Airforce Medical Gazette; Vol.54 No.1 January-April 2008; 35