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Laparoscopic Gastro-jejunostomy: An Ideal Solution to the Problem of Gastric Outlet Obstruction Post-corrosive Intake
Faraz Mahmood Ayyaz1, Usman Ismat Butt1, Mahmood Ayyaz1
1Department of Surgical Unit, Services Hospital, Lahore, Pakistan.
Objective:
To evaluate the outcome of Laparoscopic Gastro-jejunostomy in patients presenting with Gastric Outlet obstruction secondary to Corrosive intake at the Services Hospital.
Study Design:
Case series.
Place And Duration Of Study:
Department of Surgery, Services Hospital, Lahore, Pakistan, from June 2013 to June 2021.
Methodology:
Data was gathered from the patients who presented with gastric outlet obstruction with a pre-hospitalised history of corrosive intake. Consenting patients subsequently underwent laparoscopic gastro-jejunostomy and were followed up post-operatively at a 1-week time-point and 4-week time-point to monitor progress. Studied variables included duration of surgery, duration of hospital stay, complications, and mortality at the 1st and 4th weeks.
Results:
A total of 30 patients participated in the study including 27 (90%) females and 3 (10%) males. The mean age was 27.2 ± 4.07 years. The mean duration of hospital stay was 9.3 ± 3.2 days. Complications were seen in 3 patients (10%) with 1 death (3.33%).
Conclusion:
Laparoscopic gastro-jejunostomy appears to be safe and effective in corrosive intake patients presenting with gastric outlet obstruction.
Key Words:
Corrosive Intake, Gastric outlet obstruction, Laparoscopic, Gastrojejunostomy.
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