Korean J Radiol.  2020 Jul;21(7):793-811. 10.3348/kjr.2019.0822.

Normal and Abnormal Postoperative Imaging Findings after Gastric Oncologic and Bariatric Surgery

Affiliations
  • 1Department of Radiology, Seoul National University Hospital, Seoul, Korea
  • 2Department of Radiology, Seoul National University College of Medicine, Seoul, Korea
  • 3Institute of Radiation Medicine, Seoul National University Medical Research Center, Seoul, Korea

Abstract

Surgical resection remains the primary choice of treatment and the only potentially curative option for gastric carcinoma, and is increasingly performed laparoscopically. Gastric resection represents a challenging procedure, with a significant morbidity and non-negligible postoperative mortality. The interpretation of imaging after gastric surgery can be challenging due to significant modifications of the normal anatomy. After the surgery, the familiarity with expected imaging appearances is crucial for diagnosis and appropriate management of potentially life-threatening complications in patients who underwent gastric surgery. We review various surgical techniques used in gastric surgery and describe fluoroscopic and cross-sectional imaging appearances of normal postoperative anatomic changes as well as early and late complications after gastric surgery.

Keyword

Stomach; Stomach cancer; Surgical techniques; Postoperative complications; CT
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