Remnant Gastrectomy Due to Chronic Gastric Outlet Obstruction

Document Type

Conference Proceeding

Publication Date

6-28-2024

Publication Title

Surg Endosc

Keywords

aged, case report, clinical article, complication, conference abstract, diagnosis, endoscopy, female, gastrectomy, gastric bypass surgery, gastric outlet obstruction, gastric stump, human, laparoscopy, nausea and vomiting, percutaneous drainage, pylorus

Abstract

A 72-year-old female with a history of open gastric bypass presented with nausea and vomiting. Imaging demonstrated a dilated gastric remnant with a compressed roux limb. Percutaneous drainage of the gastric remnant and tube study revealed gastric outlet obstruction. A laparoscopic remnant gastrectomy was performed. The critical portions of the procedure were peri-pyloric dissection and separation of the gastric remnant without collateral injury, confirmed with intraoperative endoscopy. Pathology was negative for malignancy. The patient was advanced to a regular diet on POD#2 and discharged without complication.

Volume

38

Issue

1

First Page

S423

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