Linked Life Data

15532850

Source:http://linkedlifedata.com/resource/pubmed/id/15532850

Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
60
pubmed:dateCreated
2004-11-9
pubmed:abstractText
The Devine exclusion gastroenterostomy is recommended as a palliative procedure for unresectable gastric carcinoma, and avoids the problem of delayed gastric emptying. It is conventionally performed by a laparotomy. We report the successful laparoscopic application of this technique in a patient with gastric outlet obstruction secondary to recurrence of a previously resected hilar cholangiocarcinoma. A 38-year-old gentleman who had undergone a left hepatectomy with caudate lobectomy, excision of extrahepatic biliary tree, D2 regional lymphadenectomy and Roux-en-Y right hepaticojejunostomy presented 6 months later with symptoms of gastric outlet obstruction. Computed tomography revealed a tumor mass in the region of the gastric antrum. Attempted endoscopic treatment with a metal stent was unsuccessful. He underwent a laparoscopic exclusion gastroenterostomy. The operative time was 200 minutes. Postoperative recovery was uncomplicated. There was no delay in gastric emptying and no recurrence of gastric outlet obstruction until the time of death 41 days later. Laparoscopic exclusion gastrojejunostomy is a feasible option for the palliation of gastric outlet obstruction caused by recurrent cholangiocarcinoma.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:issn
0172-6390
pubmed:author
pubmed:issnType
Print
pubmed:volume
51
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
1886-8
pubmed:meshHeading
pubmed:articleTitle
Laparoscopic exclusion gastroenterostomy for palliation of gastric outlet obstruction secondary to recurrent cholangiocarcinoma.
pubmed:affiliation
Manchester Royal Infirmary, Manchester, UK.
pubmed:publicationType
Journal Article