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01-12-2017 | Brief Communication

Proximal Gastrectomy with Double Tract Reconstruction Is an Alternative Revision Surgery for Intractable Complications After Sleeve Gastrectomy

Authors: Takashi Oshiro, Yu Sato, Taiki Nabekura, Tomoaki Kitahara, Ayami Sato, Kengo Kadoya, Kentarou Kawamitsu, Ryuichi Takagi, Makoto Nagashima, Shinichi Okazumi, Ryoji Katoh

Published in: Obesity Surgery | Issue 12/2017

Abstract

Gastric leakage and stricture are challenging complications of sleeve gastrectomy (SG). Failure of endoscopic intervention necessitates revision surgery. We describe two cases in which proximal gastrectomy with double tract reconstruction (PG with DTR) was performed in patients with chronic gastric fistula and twisted gastric tube after SG. Following resection of the affected part of the proximal stomach, reconstruction was achieved with three anastomoses [esophagojejunostomy (EJ), gastrojejunostomy (GJ), and jejunojejunostomy]. DTR provides two exit routes, the remnant stomach and the distal jejunum. The GJ was created 15 cm below the EJ with a stoma 10 mm in diameter, which can pass a standard endoscope. Both cases were a success without any short-term complications. PG with DTR could be an alternative option for refractory complications of SG.

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Title: Proximal Gastrectomy with Double Tract Reconstruction Is an Alternative Revision Surgery for Intractable Complications After Sleeve Gastrectomy
Authors: Takashi Oshiro
Yu Sato
Taiki Nabekura
Tomoaki Kitahara
Ayami Sato
Kengo Kadoya
Kentarou Kawamitsu
Ryuichi Takagi
Makoto Nagashima
Shinichi Okazumi
Ryoji Katoh
Publication date: 01-12-2017
Publisher: Springer US
Published in: Obesity Surgery / Issue 12/2017
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI: https://doi.org/10.1007/s11695-017-2935-8

At a glance: The STEP trials

Springer Medicine

Proximal Gastrectomy with Double Tract Reconstruction Is an Alternative Revision Surgery for Intractable Complications After Sleeve Gastrectomy

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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