Published online Nov 27, 2022. doi: 10.4240/wjgs.v14.i11.1285
Peer-review started: July 25, 2022
First decision: September 4, 2022
Revised: September 16, 2022
Accepted: October 31, 2022
Article in press: October 31, 2022
Published online: November 27, 2022
Overlapped esophagojejunostomy (OEJ) is a secure purely laparoscopic reconstruction after laparoscopic total gastrectomy (LTG). Very few cases of postoperative anastomotic leakage or stenosis have been reported in patients treated with OEJ after LTG.
We have experienced five unusual cases of jejunal limb stricture near the esophageal hiatus without anastomotic stenosis during long-term observation after LTG with OEJ.
The objectives in this paper are mechanisms and prevention for this complication are described.
From April 2009 until May 2020, 211 patients who underwent LTG following by OEJ for reconstruction of the alimentary tract were enrolled in this study.
We describe the characteristics of this complication to assist treatment and prevention.
We had experienced five cases, all patients needed reoperation. We needed to know the mechanism of this complication.
LTG was widely used for gastric carcinoma. OEJ is a secure purely laparoscopic reconstruction method. Postoperative complications were very low. However, we had experienced unusual cases of jejunal limb stricture.