Open AccessLaparoscopic gastrojejunostomy to manage gastric outlet obstruction associated with endoscopic submucosal dissection of large gastric epithelial neoplasms: A two‐case report
Author(s) -
Uozumi Takeshi,
Sumiyoshi Tetsuya,
Tomita Yusuke,
Tokuchi Kaho,
Sakano Hiroya,
Yoshida Masahiro,
Fujii Ryoji,
Minagawa Takeyoshi,
Okagawa Yutaka,
Morita Kohtaro,
Yane Kei,
Ihara Hideyuki,
Hirayama Michiaki,
Kondo Hitoshi
Publication year - 2022
Publication title -
den open
Language(s) - English
Resource type - Journals
ISSN - 2692-4609
DOI - 10.1002/deo2.18
Subject(s) - medicine , gastric outlet obstruction , vomiting , nausea , endoscopic submucosal dissection , balloon dilation , surgery , endoscopy , stomach , deformity , dissection (medical) , balloon , gastroenterology
We report on two patients with stasis symptoms, including vomiting and nausea that were caused by deformity, stenosis, and decreased gastric peristalsis associated with artificial ulcers after endoscopic submucosal dissection (ESD). In both cases, the symptoms remained unresolved despite repetitive endoscopic balloon dilation (EBD). Therefore, laparoscopic gastrojejunostomy was performed. Soon after the procedure, their food intake was improved. Laparoscopic gastrojejunostomy can be an option for the treatment of gastric outlet obstruction induced by a large field of gastric ESD that is refractory to EBD.