Endoscopic Ultrasound-Guided Creation of a Gastrogastric Conduit After Pancreaticoduodenectomy in a Patient with Prior Roux-en-Y Gastric Bypass | Zendy

Rohit Das | Zendy; Herbert J. Zeh | Zendy; Amer H. Zureikat | Zendy; Adam Slivka | Zendy; Georgios I. Papachristou | Zendy

Open Access

Endoscopic Ultrasound-Guided Creation of a Gastrogastric Conduit After Pancreaticoduodenectomy in a Patient with Prior Roux-en-Y Gastric Bypass

Author(s) -

Rohit Das,

Herbert J. Zeh,

Amer H. Zureikat,

Adam Slivka,

Georgios I. Papachristou

Publication year - 2018

Publication title -

acg case reports journal

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.112

H-Index - 4

ISSN - 2326-3253

DOI - 10.14309/crj.2018.100

Subject(s) - medicine , gastric bypass , pancreaticoduodenectomy , roux en y anastomosis , endoscopic ultrasound , complication , surgery , gastric adenocarcinoma , quadrant (abdomen) , stent , electrical conduit , adenocarcinoma , radiology , general surgery , weight loss , cancer , obesity , mechanical engineering , resection , engineering

We present a 65-year-old man with a history of a Roux-en-Y gastric bypass and an ampullary adenocarcinoma, treated initially with a Whipple operation, who developed chronic left upper quadrant pain as a consequence of retained gastric contents within a dilated gastric remnant that was no longer in continuity. This was treated successfully with the endoscopic ultrasound-guided creation of a gastrogastric conduit via a covered metal stent. This represents a unique complication of pancreaticoduodenectomy in patients with a prior Roux-en-Y gastric bypass.

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