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Complications after proximal gastrectomy with jejunal pouch interposition: report of a case

T Katsube1, S Konno, K Hamaguchi

  • 1Department of Surgery, Tokyo Women's Medical University Daini Hospital, 2-2-10 Nishiogu, Arakawa-ku, Tokyo 116-8567, Japan. katsusu@dnh.twmu.ac.jp

European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology
|September 13, 2005
PubMed

Insights

A rare complication of proximal gastrectomy, severe jejunal pouch dilatation, can impair quality of life. Surgical revision successfully resolved symptoms, improving food intake and patient well-being.

Area of Science:

  • Gastroenterology
  • Surgical Oncology

Background:

  • Proximal gastrectomy with jejunal pouch interposition is a surgical approach for early gastric cancer.
  • Complications, though rare, can significantly impact patient outcomes and quality of life.

Observation:

  • A 44-year-old male presented with severe jejunal pouch dilatation 14 months post-proximal gastrectomy for early gastric cancer.
  • Symptoms included left hypochondrial fullness, reflux, and markedly impaired quality of life due to eating difficulties.

Findings:

  • Barium meal confirmed severe jejunal pouch dilatation; conservative management provided only temporary relief.
  • A secondary surgery involving resection of the dilated pouch, pyloroplasty, and double tract reconstruction was performed 4.5 years later.

Implications:

  • Surgical revision of a dilated jejunal pouch can effectively resolve complications following gastrectomy.
  • Restoration of adequate food intake and improved quality of life were observed post-reconstruction.

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