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A Peterson's hernia and subsequent small bowel volvulus: surgical reconstruction utilizing transverse colon as a new Roux-en-Y limb - 1 case

Jang JS, Shin DG

Peterson's hernia is an internal hernia that can occur after Roux-en-Y anastomosis. It often accompanies small bowel volvulus and is prone to strangulation. Reconstruction of intestinal continuity after massive small...
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Single Balloon Enteroscopy-Assisted Endoscopic Retrograde Cholangiopancreatography in Patients Who Underwent a Gastrectomy with Roux-en-Y Anastomosis: Six Cases from a Single Center

Soh JS, Yang DH, Lee SS, Lee S, Bae J, Byeon JS, Myung SJ, Yang SK

Patients with altered anatomy such as a Roux-en-Y anastomosis often present with various pancreaticobiliary problems requiring therapeutic intervention. However, a conventional endoscopic approach to the papilla is very difficult owing...
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Efficacy of Roux-en-Y Reconstruction Using Two Circular Staplers after Subtotal Gastrectomy: Results from a Pilot Study Comparing with Billroth-I Reconstruction

Kim TG, Hur H, Ahn CW, Xuan Y, Cho YK, Han SU

  • KMID: 2372401
  • J Gastric Cancer.
  • 2011 Dec;11(4):219-224.
PURPOSE: The Roux en Y method has rarely been performed due to longer operation time and high risk of complication, despite several merits including prevention of bile reflux. We conducted...
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Restoring one way traffic across the Roux loop: The Nakajo value

Rammohan A, Srinivas S, Al Azri Y, Reddy MS, Rela M

Roux-en-Y (RY) hepaticojejunostomy (HJ) is a critical component of complex hepatobiliary operations, and it is the treatment of choice for post-cholecystectomy biliary strictures (PCBS). Complications related to the Roux limb,...
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Reflux Esophagitis Following a Loop Esophagojejunostomy with a Braun Anastomosis after a Total Gastrectomy for Gastric Cancer

Yoon SB, Jeong SK, Choi KP

  • KMID: 2095430
  • J Korean Surg Soc.
  • 1998 Nov;55(5):678-684.
BACKGROUNDS: Reflux esophagitis has been known to be a frequent complication after a total gastrectomy. Reflux esophagitis is very annoying to the patients, so various types of reconstructions has been...
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Percutaneous Cholangioscopic Lithotripsy for Afferent Loop Syndrome Caused by Enterolith Development after Roux-en-Y Hepaticojejunostomy: A Case Report

Kim SH, Jeong S, Lee DH, Yoo SS, Lee KY

  • KMID: 2165433
  • Clin Endosc.
  • 2013 Nov;46(6):679-682.
Afferent loop obstruction caused by enterolith formation is rare and cannot be easily treated with endoscopy because of the difficulty associated with the nonsurgical removal of enteroliths. A 74-year-old woman...
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Obstructive Jaundice after Bilioenteric Anastomosis: Transhepatic and Direct Percutaneous Enteral Stent Insertion for Afferent Loop Occlusion

Laasch HU

  • KMID: 2053438
  • Gut Liver.
  • 2010 Sep;4(Suppl 1):S89-S95.
Recurrent tumour after radical pancreaticoduodenectomy may cause obstruction of the small bowel loop draining the liver. Roux-loop obstruction presents a particular therapeutic challenge, since the postsurgical anatomy usually prevents endoscopic...
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Uncut Roux-en-Y Reconstruction after Laparoscopic Distal Gastrectomy Can Be a Favorable Method in Terms of Gastritis, Bile Reflux, and Gastric Residue

Park JY, Kim YJ

PURPOSE: Laparoscopic distal gastrectomy (LDG) is a well-established procedure for the treatment of early gastric cancer. Several reconstruction methods can be adopted after LDG according to tumor characteristics and surgeon...
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Unaided Stapling Technique for Pure Single-Incision Distal Gastrectomy in Early Gastric Cancer: Unaided Delta-Shaped Anastomosis and Uncut Roux-en-Y Anastomosis

Suh YS, Park JH, Kim TH, Huh YJ, Son YG, Yang JY, Kong SH, Lee HJ, Yang HK

PURPOSE: Intracorporeal anastomosis is the most difficult procedure during pure single-incision distal gastrectomy (SIDG) that affects its generalization. We introduced unaided delta-shaped anastomosis (uDelta), a novel anastomosis technique, for gastroduodenostomy...
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Cap-assisted ERCP in Surgically Altered Anatomy

Park ES, Lee TH, Park SH, Ko GB, Son BS, Shim YS, Lee SH, Kim HS, Kim SJ

  • KMID: 2304728
  • Korean J Gastrointest Endosc.
  • 2010 Dec;41(6):344-349.
BACKGROUND/AIMS: Endoscopic retrograde cholangiopancreatography (ERCP) is a difficult procedure to perform on patients who have undergone a Billroth II gastrectomy, Whipple's operation or Roux-en-Y gastrobypass surgery. Our study was designed...
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Resolution of type 2 diabetes after gastrectomy for gastric cancer with long limb Roux-en Y reconstruction: a prospective pilot study

Kim WS, Kim JW, Ahn CW, Choi SH

PURPOSE: It is unclear whether metabolic surgery is effective in non obese type 2 diabetes mellitus (T2DM) and the result after gastrectomy and conventional reconstruction for gastric cancer with non...
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Synchronously Occurring Multiple Leiomyosarcoma in the Small Intestine and Stomach: A case report

Park B, Park YK, Chi KC, Lee JH, Chang IT

  • KMID: 2095767
  • J Korean Surg Soc.
  • 1999 Dec;57(6):914-918.
We experienced a case of synchronously occurring multiple leiomyosarcoma in the jejunum and stomach. The presented case was a 75-year-old man with signs of panperitonitis. We performed a subtotal gastrectomy,...
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An Analysis of Complications according to Cartridge Size Following Total Gastrectomy with Roux-en-Y Esophagojejunostomy Using the EEA Stapler

Hong JH, Kim HI, Kim CS, Koo BH

  • KMID: 2095964
  • J Korean Surg Soc.
  • 2002 Mar;62(3):205-208.
PURPOSE: Anastomotic stricture is one of the most common problems in esophagojejunostomy using an end-to-end anastomosing (EEA) instrument following total gastrectomy. Because anastomotic stricture often develops with small- cartridge EEA,...
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Roux-en-Y end-to-side esophagojejunostomy with stapler after total gastrectomy

Kim CB, Suh KW, Moon JI, Min JS

One hundred gastric cancer patients who underwent total gastrectomy and Roux-en-Y, end-to-side esophagojejunostomy by using stapling devices were analyzed with regard to their operative results. The median time required for...
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Nutritional effects according to reconstructional methods after total gastrectomy

Min JS, Choi SH, Noh SH, Kim MW

Malnutrition and weight loss after total gastrectomy is one of the major concerns of surgeons. In order to improve the nutritional status in these patients, many surgeons have tried to...
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Esophagojejunal Anastomosis after Laparoscopic Total Gastrectomy for Gastric Cancer: Circular versus Linear Stapling

Park KB, Kim EY, Song KY

PURPOSE: No standard technique has been established for esophagojejunal anastomosis during laparoscopic total gastrectomy (LTG) for gastric cancer owing to the technical difficulty and high complication rate of this procedure....
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Total Gastrectomy in Gastric Conduit Cancer

Kim JJ, Park JK, Wang YP, Sung SW, Park HJ, Lee SI

  • KMID: 2063129
  • Korean J Thorac Cardiovasc Surg.
  • 2012 Feb;45(1):53-55.
We report a very rare case of surgery on gastric conduit cancer. A 67-year-old male patient underwent esophagectomy and intrathoracic esophagogastrostomy for squamous cell carcinoma of the lower thoracic esophagus...
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Comparison of surgical outcomes of intracorporeal hepaticojejunostomy in the excision of choledochal cysts using laparoscopic versus robot techniques

Lee H, Kwon W, Han Y, Kim JR, Kim SW, Jang JY

PURPOSE: Increasing surgical expertise in minimally invasive surgery has allowed laparoscopic surgery to be performed in many abdominal surgeries. Laparoscopic choledochal cyst excision and Roux-en-Y hepaticojejunostomy are challenging and sophisticated...
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Endoscopic Alkaline Reflux Gasitritis and Esophagitis in Gastroresected Patients: Clinical significance and difference according to the types of surgery

Jung JO, Kim YS, Moon SH, Hwang JH, Woo GH, Kim J, Chang DK, Jung HC, Song IS, Choi KW, Kim CY

  • KMID: 2038393
  • Korean J Gastrointest Endosc.
  • 1997 Dec;17(6):743-749.
BACKGROUND/AIMS: The reflux alkaline gastritis and esophagitis are important late complications after gastric surgery. Endoscopy is primary diagnostic tool for them. But, the clinical significance of gastritis and esophagitis diagnosed...
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ERCP-Related Duodenal Perforation; The Prevention and Management

Kim HJ, Park SM

Endoscopic retrograde cholangiopancreatography (ERCP) is an invasive procedure carrying potential complication such as pancreatitis, hemorrhage, perforation and cholangitis. Most of those complications are mild and usually need a short additional...
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