A short term outcome of laparoscopic hand sewn roux-en-y gastrojejunostomy in gastric outlet obstruction from a developing country- an observational study

Back Ground: Carcinoma stomach is one of the commonest malignancies seen in our Kashmiri population, due to excessive consumption of salt and pepper. It is considered as captain of the men of death. Over the period of time, different surgical modalities and their modifications have been devised by different surgeons, all across the globe. Thanks to Kitano who performed first laparoscopic Gastrectomy in 1994 and changed the scenario in the surgical management of carcinoma stomach. One of the presentations of gastric tumors is Gastric outlet obstruction which presents with biochemical and anatomicosurgical syndrome in these patients. We became interested to study the surgical outcome of laparoscopic hand sewn Roux En Y Gastrojejunostomy anastomosis in gastric outlet obstruction. The aims of the study were to assess the feasibility of the procedure and evaluate patients for Afferent Loop Syndrome post operatively. The other aims studied being time taken for anastomosis, total hospital stay, return of bowel sounds and post-operative complications. The conclusion of the study was Laparoscopic Roux En Y Gastrojejunostomy is effective in achieving quality of life and the chances of afferent loop syndrome are least with it.