A Short Term Outcome of Laparoscopic Hand Sewn and Stapled Gastrojejunostomy in Gastric Outlet Obstruction - An Observational Study

Authors: Mushtaq C , Mumtaz DW , Peer HAM , Awhad MY , Wasim R , Syed SA , Zubair GL and Aabid RB

DOI: 10.23880/ijsst-16000118

Volume 2, Issue 2

Abstract

Background: Gastric Outlet Obstruction is a disease condition, where there is inability of gastric contents to go beyond the proximal duodenum. The major cause is known to be malignancy, especially in the developing world. Palliative treatment is important and required for patients with unrestable primary gastric outlet tumours or even with metastatic lesions. We took up laparoscopic gastrojejunostomy as a study to observe the results of laparoscopic hand sewn and laparoscopic stapled anastomosis with reference to operative time, anastomosis time, return of bowel sounds, post operative complications and total hospital stay. Methods: This study was prospective, observational, hospital based conducted in the department of General and Minimal Access Surgery, Government Medical College Srinagar between June 2014 to September 2016. 40 patients were selected and grouped into 20 each as A & B. Laparoscopic hand sewn anastomosis was performed in Group A and laparoscopic stapled anastomosis was performed in Group B and different parameters were observed in each group.

Keywords: Laparoscopy; Gastrojejunostomy; Techniques

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