A Case of Laparoscopic Bypass Between the Residual Stomach and Jejunum Bypass for Anastomotic Recurrence After Open Distal Gasterctomy

Yuichiro Tanishima, MD PhD, Norio Mitsumori, MD PhD, Masami Yuda, MD, Seryong Yamamoto, MD, Hiroaki Aoki, MD PhD, Toshiyuki Sasaki, MD, Katsunori Nishikawa, MD PhD, Nobuo Omura, MD PhD, Yoshio Ishibashi, MD PhD, Koji Nakada, MD PhD, Hideyuki Kashiwagi, MD PhD, Katsuhiko Yanaga, MD PhD. Department of Surgery, Jikei University School of Medicine


A 75-year-old man with advanced gastric cancer underwent open distal gastrectomy (Roux-Y). Postoperatively the proximal margin was judged cancer positive by pathological report. Two years after operation, he was admitted urgently with severe abdominal pain and vomiting. Computed Tomography showed dilation of the residual stomach, while the roux limb of the jejunum was not dilated, for which anastomotic stenosis by recurrence was suspected. He underwent exploratory laparoscopy, and such a diagnosis was comfirmed. He underwent laparoscopic side-to-side anastomosis between the residual stomach and the Roux limb of the jejunum 10cm anal side of the anastomosis. His postoperative course was uneventful, and oral intake was resumed on postoperative day4. Laparoscopic bypass between the residual stomach and jejunum bypass is a rare surgical procedure, and herein we report such a case and review the literature.

Session Number: Poster – Poster Presentations
Program Number: P194
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