Marked improvement of severe reflux esophagitis following proximal gastrectomy with esophagogastrostomy by the right gastroepiploic vessels-preserving antrectomy and Roux-en-Y biliary diversion.
Yudai HojoTatsuro NakamuraTsutomu KumamotoYasunori KurahashiYoshinori IshidaYoshitaka KitayamaToshihiko TomitaHisashi ShinoharaPublished in: Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association (2022)
Duodenogastroesophageal reflux (DGER) following esophagectomy or gastrectomy can cause severe esophagitis, which impairs patients' quality of life and increases the risk of esophageal carcinogenesis. It is sometimes resistant to medical treatment, and surgical treatment is considered effective in such cases. However, an optimal operative procedure for medical treatment-resistant reflux esophagitis (RE) after proximal gastrectomy (PG) with esophagogastrostomy (EG) has not yet been established. We performed the right gastroepiploic vessels-preserving antrectomy and Roux-en-Y biliary diversion in a 70-year-old man with medical treatment-resistant severe esophagitis caused by DGER following PG with EG for esophagogastric junction cancer. The postoperative course was uneventful, and esophagogastroduodenoscopy performed on the 19th postoperative day showed marked improvement in the esophageal erosions. The patient reported symptomatic relief. The right gastroepiploic vessels-preserving antrectomy and Roux-en-Y biliary diversion were considered safe and feasible for medical treatment-resistant RE following PG with EG.
Keyphrases
- patient reported
- healthcare
- robot assisted
- gastric bypass
- early onset
- patients undergoing
- end stage renal disease
- ejection fraction
- newly diagnosed
- squamous cell carcinoma
- prognostic factors
- peritoneal dialysis
- minimally invasive
- papillary thyroid
- drug induced
- combination therapy
- young adults
- weight loss
- lymph node metastasis
- smoking cessation