Post-Gastrectomy
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.
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