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Hunt-Lawrence pouch after total gastrectomy: 4 years follow up
Prema Menon1, Indira Sunil, Sujit K Chowdhury
1Department of Pediatric Surgery, Post Graduate Institute of Medical Education and Research, Chandigarh 160 012, India.
Insights
A 12-year-old boy recovered from severe malnutrition after a total gastrectomy using a Hunt-Lawrence pouch. This surgical reconstruction successfully restored weight and improved quality of life.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Surgical Reconstruction
Background:
- Gastric volvulus necessitates surgical intervention, often leading to total gastrectomy.
- Total gastrectomy can cause severe weight loss and malnutrition in pediatric patients.
Observation:
- A 12-year-old male patient presented with severe weight loss and malnutrition post-total gastrectomy for gastric volvulus.
Findings:
- A Hunt-Lawrence pouch was surgically created to serve as a gastric reservoir.
- At 4-year follow-up, the patient achieved near-normal weight for his age.
Implications:
- The Hunt-Lawrence pouch is an effective reconstructive option for pediatric patients following total gastrectomy.
- Restoration of nutritional status significantly improves long-term outcomes and quality of life in children.
- Successful surgical management enables patients to resume normal childhood activities and education.
Abstract:
A 12-year-old boy had undergone total gastrectomy for gastric volvulus with subsequent severe weight loss and malnutrition. A Hunt-Lawrence pouch was constructed to provide gastric reservoir capacity and the child at 4-years follow-up has regained near normal weight for his age and is attending to school and other activities.