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Esophagojejunal Anastomosis after Laparoscopic Total Gastrectomy for Gastric Cancer: Circular versus Linear Stapling

Park KB, Kim EY, Song KY

PURPOSE: No standard technique has been established for esophagojejunal anastomosis during laparoscopic total gastrectomy (LTG) for gastric cancer owing to the technical difficulty and high complication rate of this procedure....
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Ischemic Necrosis Caused by Retroanastomotic Hernia after Subtotal Gastrectomy

Lee SH, Park SC, Lee SJ, Kang CD, Nam SJ, Lee SY, Hong SK, Lee SK

After gastrojejunostomy, a small space can occur between the jejunum at the anastomosis site, the transverse mesocolon, and retroperitoneum, which may cause an intestinal hernia. This report presents a rare...
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Comparison of surgical outcomes of intracorporeal hepaticojejunostomy in the excision of choledochal cysts using laparoscopic versus robot techniques

Lee H, Kwon W, Han Y, Kim JR, Kim SW, Jang JY

PURPOSE: Increasing surgical expertise in minimally invasive surgery has allowed laparoscopic surgery to be performed in many abdominal surgeries. Laparoscopic choledochal cyst excision and Roux-en-Y hepaticojejunostomy are challenging and sophisticated...
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Restoring one way traffic across the Roux loop: The Nakajo value

Rammohan A, Srinivas S, Al Azri Y, Reddy MS, Rela M

Roux-en-Y (RY) hepaticojejunostomy (HJ) is a critical component of complex hepatobiliary operations, and it is the treatment of choice for post-cholecystectomy biliary strictures (PCBS). Complications related to the Roux limb,...
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Actual 5-Year Nutritional Outcomes of Patients with Gastric Cancer

Kim KH, Park DJ, Park YS, Ahn SH, Park DJ, Kim HH

PURPOSE: In this study, we aimed to evaluate the rarely reported long-term nutritional results of patients with gastric cancer after curative gastrectomy. MATERIALS AND METHODS: We retrospectively reviewed the prospectively collected...
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Korean Gastric Cancer Association Nationwide Survey on Gastric Cancer in 2014

The Information Committee of Korean Gastric Cancer Association

PURPOSE: The Korean Gastric Cancer Association (KGCA) has conducted nationwide surveys every 5 years, targeting patients who received surgical treatment for gastric cancer. We report the results of the 2014...
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ERCP-Related Duodenal Perforation; The Prevention and Management

Kim HJ, Park SM

Endoscopic retrograde cholangiopancreatography (ERCP) is an invasive procedure carrying potential complication such as pancreatitis, hemorrhage, perforation and cholangitis. Most of those complications are mild and usually need a short additional...
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Single Balloon Enteroscopy-Assisted Endoscopic Retrograde Cholangiopancreatography in Patients Who Underwent a Gastrectomy with Roux-en-Y Anastomosis: Six Cases from a Single Center

Soh JS, Yang DH, Lee SS, Lee S, Bae J, Byeon JS, Myung SJ, Yang SK

Patients with altered anatomy such as a Roux-en-Y anastomosis often present with various pancreaticobiliary problems requiring therapeutic intervention. However, a conventional endoscopic approach to the papilla is very difficult owing...
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Unaided Stapling Technique for Pure Single-Incision Distal Gastrectomy in Early Gastric Cancer: Unaided Delta-Shaped Anastomosis and Uncut Roux-en-Y Anastomosis

Suh YS, Park JH, Kim TH, Huh YJ, Son YG, Yang JY, Kong SH, Lee HJ, Yang HK

PURPOSE: Intracorporeal anastomosis is the most difficult procedure during pure single-incision distal gastrectomy (SIDG) that affects its generalization. We introduced unaided delta-shaped anastomosis (uDelta), a novel anastomosis technique, for gastroduodenostomy...
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The effect of long Roux-en-Y gastrojejunostomy in gastric cancer patients with type 2 diabetes and body mass index < 35 kg/m2: preliminary results

Kim JW, Kim KY, Lee SC, Yang DH, Kim BC

PURPOSE: We applied a long Roux-en-Y (RY) gastrojejunostomy (bypassed jejunum over 100 cm) as a reconstruction method for diabetes control to gastric cancer patients with type 2 diabetes and body...
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Uncut Roux-en-Y Reconstruction after Laparoscopic Distal Gastrectomy Can Be a Favorable Method in Terms of Gastritis, Bile Reflux, and Gastric Residue

Park JY, Kim YJ

PURPOSE: Laparoscopic distal gastrectomy (LDG) is a well-established procedure for the treatment of early gastric cancer. Several reconstruction methods can be adopted after LDG according to tumor characteristics and surgeon...
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A Peterson's hernia and subsequent small bowel volvulus: surgical reconstruction utilizing transverse colon as a new Roux-en-Y limb - 1 case

Jang JS, Shin DG

Peterson's hernia is an internal hernia that can occur after Roux-en-Y anastomosis. It often accompanies small bowel volvulus and is prone to strangulation. Reconstruction of intestinal continuity after massive small...
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Percutaneous Cholangioscopic Lithotripsy for Afferent Loop Syndrome Caused by Enterolith Development after Roux-en-Y Hepaticojejunostomy: A Case Report

Kim SH, Jeong S, Lee DH, Yoo SS, Lee KY

  • KMID: 2165433
  • Clin Endosc.
  • 2013 Nov;46(6):679-682.
Afferent loop obstruction caused by enterolith formation is rare and cannot be easily treated with endoscopy because of the difficulty associated with the nonsurgical removal of enteroliths. A 74-year-old woman...
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Resolution of type 2 diabetes after gastrectomy for gastric cancer with long limb Roux-en Y reconstruction: a prospective pilot study

Kim WS, Kim JW, Ahn CW, Choi SH

PURPOSE: It is unclear whether metabolic surgery is effective in non obese type 2 diabetes mellitus (T2DM) and the result after gastrectomy and conventional reconstruction for gastric cancer with non...
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Total Gastrectomy in Gastric Conduit Cancer

Kim JJ, Park JK, Wang YP, Sung SW, Park HJ, Lee SI

  • KMID: 2063129
  • Korean J Thorac Cardiovasc Surg.
  • 2012 Feb;45(1):53-55.
We report a very rare case of surgery on gastric conduit cancer. A 67-year-old male patient underwent esophagectomy and intrathoracic esophagogastrostomy for squamous cell carcinoma of the lower thoracic esophagus...
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Is Preoperative Subclassification of Type I Choledochal Cyst Necessary?

Jung K, Han HS, Cho JY, Yoon YS, Hwang DW

OBJECTIVE: The aim of this study was to evaluate the frequency of postoperative biliary stricture and its risk factors in patients undergoing surgery for type I choledochal cyst. MATERIALS AND METHODS:...
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Efficacy of Roux-en-Y Reconstruction Using Two Circular Staplers after Subtotal Gastrectomy: Results from a Pilot Study Comparing with Billroth-I Reconstruction

Kim TG, Hur H, Ahn CW, Xuan Y, Cho YK, Han SU

  • KMID: 2372401
  • J Gastric Cancer.
  • 2011 Dec;11(4):219-224.
PURPOSE: The Roux en Y method has rarely been performed due to longer operation time and high risk of complication, despite several merits including prevention of bile reflux. We conducted...
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Cap-assisted ERCP in Surgically Altered Anatomy

Park ES, Lee TH, Park SH, Ko GB, Son BS, Shim YS, Lee SH, Kim HS, Kim SJ

  • KMID: 2304728
  • Korean J Gastrointest Endosc.
  • 2010 Dec;41(6):344-349.
BACKGROUND/AIMS: Endoscopic retrograde cholangiopancreatography (ERCP) is a difficult procedure to perform on patients who have undergone a Billroth II gastrectomy, Whipple's operation or Roux-en-Y gastrobypass surgery. Our study was designed...
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Obstructive Jaundice after Bilioenteric Anastomosis: Transhepatic and Direct Percutaneous Enteral Stent Insertion for Afferent Loop Occlusion

Laasch HU

  • KMID: 2053438
  • Gut Liver.
  • 2010 Sep;4(Suppl 1):S89-S95.
Recurrent tumour after radical pancreaticoduodenectomy may cause obstruction of the small bowel loop draining the liver. Roux-loop obstruction presents a particular therapeutic challenge, since the postsurgical anatomy usually prevents endoscopic...
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Fetal Choledochal Cyst Diagnosed at 22 Weeks of Gestation by Three-Dimensional Ultrasonography: A Case Report

Lee IH, Kim GJ

Choledochal cyst is a cystic or fusiform dilatation of the extra- or intrahepatic bile duct that has rarely been reported in prenatal cases. Here we report a fetus with choledochal...
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