Laparoscopic gastrojejunostomy to manage gastric outlet obstruction associated with endoscopic submucosal dissection of large gastric epithelial neoplasms: A two‐case report
Takeshi Uozumi,
Tetsuya Sumiyoshi,
Yusuke Tomita,
Kaho Tokuchi,
Hiroya Sakano,
Masahiro Yoshida,
Ryoji Fujii,
Takeyoshi Minagawa,
Yutaka Okagawa,
Kohtaro Morita,
Kei Yane,
Hideyuki Ihara,
Michiaki Hirayama,
Hitoshi Kondo
Affiliations
Takeshi Uozumi
Department of Gastroenterology Tonan Hospital Hokkaido Japan
Tetsuya Sumiyoshi
Department of Gastroenterology Tonan Hospital Hokkaido Japan
Yusuke Tomita
Department of Gastroenterology Tonan Hospital Hokkaido Japan
Kaho Tokuchi
Department of Gastroenterology Tonan Hospital Hokkaido Japan
Hiroya Sakano
Department of Gastroenterology Tonan Hospital Hokkaido Japan
Masahiro Yoshida
Department of Gastroenterology Tonan Hospital Hokkaido Japan
Ryoji Fujii
Department of Gastroenterology Tonan Hospital Hokkaido Japan
Takeyoshi Minagawa
Department of Gastroenterology Tonan Hospital Hokkaido Japan
Yutaka Okagawa
Department of Gastroenterology Tonan Hospital Hokkaido Japan
Kohtaro Morita
Department of Gastroenterology Tonan Hospital Hokkaido Japan
Kei Yane
Department of Gastroenterology Tonan Hospital Hokkaido Japan
Hideyuki Ihara
Department of Gastroenterology Tonan Hospital Hokkaido Japan
Michiaki Hirayama
Department of Gastroenterology Tonan Hospital Hokkaido Japan
Hitoshi Kondo
Department of Gastroenterology Tonan Hospital Hokkaido Japan
Abstract 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.
