Endoscopic Treatment of a Twisted Small Bowel Obstruction after Laparoscopic Proximal Gastrectomy with Double Tract Reconstruction
10.4166/kjg.2020.75.5.296
- Author:
Ki Bum PARK
1
;
Seong Woo JEON
Author Information
1. Departments of Surgery, School of Medicine, Kyungpook National University, Daegu, Korea
- Publication Type:CASE REPORT
- From:The Korean Journal of Gastroenterology
2020;75(5):296-299
- CountryRepublic of Korea
-
Abstract:
This paper reports a case of a twisted small bowel obstruction in a 74-year-old man that occurred after a double tract reconstruction (DTR) in a laparoscopic proximal gastrectomy (PG) for early gastric cancer. The patient had inadequate oral intake and reflux symptoms for 10 days after discharge. Imaging analysis revealed a narrowed small bowel with twists between the esophagojejunostomy and gastrojejunostomy sites. A fully covered stent was placed in the narrowed small bowel for 2 weeks. The patient was then discharged after stent removal without any dietary problems. The authors’ experience shows that twisted small bowel after a DTR in PG can be treated by endoscopy.
