Double H-flap technique, an anti-reflux adjunct to esophagogastrostomy after proximal gastrectomy for gastric leiomyoma: A case report.
- Author:
Ma. Katrina B. Guillermo
;
Shiela S. Macalindong
- Publication Type:Case Reports
- Keywords:
proximal gastrectomy;
esophagogastrostomy;
double flap technique;
reflux esophagitis
- From:
Philippine Journal of Surgical Specialties
2021;76(2):63- 72
- CountryPhilippines
- Language:English
-
Abstract:
A significant challenge after performing resection of the
esophagogastric region, is the reconstruction that follows.
Esophagogastrostomy is a simple and direct method to restore
gastrointestinal continuity using a single anastomosis but is associated
with reflux esophagitis and anastomotic stenosis. This case report
presents a 29-year-old man with a bleeding gastroesophageal
junction leiomyoma who underwent a proximal gastrectomy and an
esophagogastrostomy reconstruction with a double H-flap technique
to reduce the incidence of gastric reflux. This illustrative description
of the double H-flap technique created a valve mechanism that
mimicked the function of the resected sphincter and cardia. This antireflux adjunct technique is reproducible and effective in preventing
gastroesophageal reflux symptoms after an esophagogastrostomy.
- Full text:Double H-flap technique.pdf
