Simultaneous laparoscopic subtotal gastrectomy (Billroth II) and total colectomy with ileorectal anastomosis for synchronous gastric and multi‐focal colon cancer – a video vignette

2021 ◽  
Author(s):  
Haiyang Zhou ◽  
Anqi Wang ◽  
Jun Ying ◽  
Hao Lu
Keyword(s):  
Colon Cancer ◽  
Ileorectal Anastomosis ◽  
Total Colectomy ◽  
Subtotal Gastrectomy ◽  
Billroth Ii ◽  
Laparoscopic Subtotal Gastrectomy ◽  
Video Vignette

Postoperative Complications and Functional Results After Subtotal Gastrectomy with Billroth II Reconstruction for Primary Gastric Cancer

2007 ◽  
Vol 52 (8) ◽  
pp. 1757-1763 ◽  
Author(s):  
Corrado Pedrazzani ◽  
Daniele Marrelli ◽  
Bernardino Rampone ◽  
Alfonso De Stefano ◽  
Giovanni Corso ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Postoperative Complications ◽  
Subtotal Gastrectomy ◽  
Functional Results ◽  
Billroth Ii ◽  
Primary Gastric Cancer ◽  
Billroth Ii Reconstruction

scholarly journals Management of afferent loop syndrome after Roux-en-Y subtotal gastrectomy and choledocolithiasis with recurrent cholangitis

2020 ◽  
Vol 13 (1) ◽  
pp. e232498
Author(s):  
Fernando Azevedo ◽  
Carolina Canhoto ◽  
José Guilherme Tralhão ◽  
Hélder Carvalho
Keyword(s):  
Bile Flow ◽  
Rare Complication ◽  
Acute Cholangitis ◽  
Subtotal Gastrectomy ◽  
Bacterial Overgrowth ◽  
Billroth Ii ◽  
Afferent Loop ◽  
Afferent Loop Syndrome ◽  
Biliary Stasis ◽  
Multiple Episodes

Afferent loop syndrome is a rare complication after gastrectomy with Billroth II or Roux-en-Y reconstruction, caused by an obstruction in the proximal loop. The biliary stasis and bacterial overgrowth secondary to this obstruction can lead to repeated episodes of acute cholangitis. We present the case of a male patient who had previously undergone gastrectomy with Roux-en-Y reconstruction and later experienced multiple episodes of acute cholangitis secondary to choledocolithiasis. He underwent an open exploration of the bile ducts with choledocolitotomy, but the events of cholangitis persisted. Further investigation permitted to identify a dilation of the biliary loop of the Roux-en-Y anastomosis, suggesting enterobiliary reflux as the cause of recurrent acute cholangitis. Therefore, a bowel enterectomy and new jejunojejunostomy were undertaken, and normal biliary flow was re-established. The surgical treatment is mandatory in benign causes, leading to the resolution of the obstruction and subsequent normalisation of bile flow.

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