Laparoscopic Gastric and Biliary Bypass: A Single-Center Cohort Prospective Study

• DOI: 10.1089/lap.2006.16.21
• Publication Date: 2006-02-22T18:55:01Z
• Authors: Ali M. Ghanem; Ayman M. Hamade; Ali J. Sheen; Anas Owera; Ahmed Z. Al-Bahrani; Basil J. Ammori
• Keywords: Gastric Outlet Obstruction; Gastric bypass surgery

Purpose: Relief of gastric outlet and distal biliary obstruction may be accomplished by open surgery or minimally invasive techniques including endoscopic laparoscopic approaches. We examined the feasibility safety bypass in all patients with malignant benign disease requiring surgical relief obstructive symptoms. Materials Methods: Patients duodenal stricture inoperable malignancy underwent therapeutic surgery. Prophylactic was added selected nonmetastatic malignancy. Results: Twenty-eight (17 them female) a median age 67 years (range, 26–81 years) 29 procedures for (n = 23) 6) disease. One patient who Roux-en-Y gastrojejunostomy non-steroidal anti-inflammatory drug induced ulcer developed stenosis stoma that required refashioning 2 months later, accounting 29th procedure reported herein 28 patients. Surgery included construction single 16) 5) double 8), an additional prophylactic 5 23 cancer (21.8%). All were completed laparoscopically. The operative time 90 minutes 60–153 minutes) mean postoperative hospital stay 4 days 3–6 days). Complications following (13.8%) 1 died (3.4%). No complications occurred bypass. revision gastroenterostomy postoperatively, recurrence symptoms observed during follow-up. Conclusion: Laparoscopic results low morbidity mortality short stay. addition unresectable appears safe effective.