74 year-old man who had undergone subtotal gastrectomy nine years previously for refractory ulcer disease. These images show a patent gastrojejunostomy, with a typical degree of inflammation at the anastomosis. Both jejunal limbs of the end-to-side anastomosis can be seen in the distance: the afferent limb up and to the right, and the efferent limb down and to the left.
71 year-old woman who had undergone subtotal gastrectomy. Both the afferent and efferent limbs of the gastrojejunostomy are widely patent.
71 year-old woman who had undergone partial gastrectomy 23 years previously, who developed symptoms of gastric outlet obstruction. Endoscopy demonstrated stenosis of the anastomosis, with retained gastric content. Her symptoms responded well to endoscopic dilation of the outlet with a 20 mm balloon. The apparent polyps at the anastomosis were inflammatory on biopsy.
Endoscopic images Copyright © Atlanta South Gastroenterology, P.C. All rights reserved.
Logo is Registered Trademark ® of Atlanta South Gastroenterology, P.C.
This site is presented for educational and general informational purposes only. It does not purport to offer medical advice for any specific medical condition or individual patient. We regret that we cannot provide individualized medical advice online, either via this web site or via email. Please refer to our "Notable Web Sites" section, which offers links to several excellent online sources of additional medical information.