Hedberg M Hedberg, MD1, Michael B Ujiki, MD2. 1University of Chicago Medical Center, 2NorthShore University HealthSystem
Diffuse gastric polyposis is a rare disease characterized by a carpet of polyps arising from the gastric mucosa. Only a few case reports exist in the literature, but in all cases resection of all visible polyps was the treatment choice, given the impossibility of adequate surveillance. The patient in this video presentation is a 63 year old man on anticoagulation therapy who had an upper endoscopy to work up anemia. He was diagnosed with diffuse gastric polyposis, and one biopsy of many revealed an adenoma among the numerous polyps. The decision was made to perform a total gastrectomy.
The video demonstrates a laparoscopic total gastrectomy with roux-en-y esophagojejunostomy and jejunal pouch. A small celiotomy is used to remove the specimen, construct the j-pouch extracorporally. The celiotomy is fitted with a laparoscopic multi-instrument port to maintain insufflation while introducing the end-to-end stapler and completing the case. This technique is useful to aid complex operations and take advantages of both laparoscopic and open techniques without large incisions.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 87863
Program Number: V204
Presentation Session: Wednesday Video Loop (Non CME)
Presentation Type: VideoLoop