Petersen's hernia with chylous ascites following laparoscopic total gastrectomy and Roux-en-Y anastomosis: A case report and review of literature

Table 1 Literature review of Petersen’s hernia following total gastrectomy with Roux-en-Y anastomosis

Age	Gender	Type of surgery	R-Y approach	Postoperative time (month)	CT findings	Ref.
56	M	OS, R-Y	Anterior colon	48	"Spiral" or "whirl" sign	[32]
72	M	OS, R-Y	Anterior colon	6	"Spiral" or "whirl" sign	[33]
52	M	OS, R-Y	Anterior colon	11	"Spiral" or "whirl" sign
73	M	LS, R-Y	Anterior colon	24	"Spiral" or "whirl" sign
54	M	LS, R-Y	Anterior colon	26	"Spiral" or "whirl" sign
62	M	OS, R-Y	Anterior colon	60	"Spiral" or "whirl" sign	[34]
54	M	OS, R-Y	Anterior colon	6	"Spiral" or "whirl" sign
69	M	OS, R-Y	Posterior colon	24	"Spiral" or "whirl" sign	[35]
70	M	OS, R-Y	Anterior colon	-	"Spiral" or "whirl" sign	[36]
50	M	OS, R-Y	Anterior colon	18	"Spiral" or "whirl" sign
71	M	LS, R-Y	Anterior colon	11	"Spiral" or "whirl" sign	[37]
75	W	LS, R-Y	Anterior colon	128	"Spiral" or "whirl" sign
66	M	LS, R-Y	Anterior colon	0.5	"Spiral" or "whirl" sign	[38]
71	M	OS, R-Y	Anterior colon	24	"Spiral" or "whirl" sign	[39]
73	M	OS, R-Y	Anterior colon	7	"Spiral" or "whirl" sign
62	M	LS, R-Y	Anterior colon	84	"Spiral" or "whirl" sign

M: Man; W: Woman; OS: Open surgery; LS: Laparoscopic surgery; R-Y: R-Y anastomosis technique; CT: Computed tomography.

Table 2 Literature review of Petersen’s hernia following total gastrectomy with Roux-en-Y anastomosis

Chylous ascites	Surgical approach	Intestinal management of internal hernia	Close Peterson's defect	From onset to operation time (hour)	Prognosis	Ref.
N	OS	IR	Y	4	Recovery	[32]
N	OS	IR	Y	30	Death	[33]
N	OS	IR	Y	150	Recovery
N	OS	IR	Y	48	Recovery
N	OS	IR	Y	48	Recovery
N	OS	IR	Y	31	Recovery
N	OS	IR	Y	24	Recovery	[34]
N	OS	IR	Y	120	Recovery
Y	LS	IR	Y	48	Recovery	[35]
N	OS	IR	Y	24	Recovery	[36]
N	OS	IR	Y	24	Recovery
N	LS	IR	Y	-	Recovery	[37]
N	LS	IR	Y	-	Recovery
N	OS	IR, IPR	Y	24	Recovery	[38]
N	OS	IR, IRA	Y	70	Death	[39]
N	OS	IR, IRA	Y	22	Recovery
Y	OS	IR	Y	4	Recovery

Y: Yes; N: No; OS: Open surgery; LS: Laparoscopic surgery; IR: Intestinal reduction; IRA: Intestinal resection and anastomosis; IPR: Intestinal perforation repair.