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Single Incision Plus One Port Laparoscopic Proximal Gastrectomy with Double Channel Anastomosis for Gastric Cancer Treatment
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[Two Cases of Blind Pouch Syndrome after Total Gastrectomy]
Tomoyuki Nagata1, Yuki Adachi, Akihiro Taniguchi
1Dept. of Surgery, Kyoto Chubu Medical Center.
Gan to Kagaku Ryoho. Cancer & Chemotherapy
|February 3, 2023
Summary
Blind pouch syndrome (BPS), a complication after intestinal surgery, causes local symptoms. Surgical bypass of the blind pouch effectively treated BPS in two gastric cancer patients.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Abdominal Surgery
Background:
- Blind loop syndrome (BLS) is a post-intestinal anastomosis complication.
- Blind pouch syndrome (BPS) is a subtype of BLS, presenting with localized symptoms rather than malabsorption.
Observation:
- BPS symptoms are localized and distinct from BLS.
- Conservative treatment is ineffective for BPS.
- Surgical intervention is often necessary for BPS management.
Findings:
- Two gastric cancer patients developed BPS after Roux-en-Y reconstruction.
- Surgical bypass of the blind pouch provided a curative solution for BPS in these cases.
Implications:
- Surgical bypass is a viable and curative treatment for BPS.
- This approach offers an alternative to blind pouch resection.
- Effective management of BPS can improve patient outcomes after gastrectomy.
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