Antegrade jejunogastric intussusception and common bile duct stones at 14 months after gastrectomy and cholecystectomy: A case report

Miura, Yoshiko; Uemura, Tomohiro; Sato, Kazuya; Abe, Takayuki; Akada, Tetsuya; Ito, Soichi; Yamana, Hiroki; Kato, Hiroyuki

doi:10.1016/j.ijscr.2017.08.017

Cited by 3 publications

(2 citation statements)

References 17 publications

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“…This may further support the hypothesis that bile is involved in carcinogenesis in the stomach. Additionally, according to previous reports, bile duct stones are significantly associated with GC following cholecystectomy,37 38 increased awareness and effective bile duct stone therapy should be applied by clinicians to reduce the risk of developing GC. Notably, the level of evidence from observational studies has been limited, therefore, more clinical studies such as randomised controlled trials are required which can be applied to this clinical situation.…”

Section: Discussionmentioning

confidence: 98%

Association between history of cholecystectomy and risk of gastric cancer: a meta-analysis of epidemiological studies

Sun,

Ma,

Yuan

2023

BMJ Open

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PurposeEvidence from previous studies on the association between cholecystectomy and risk of gastric cancer are still inconsistent. We aimed at conducting a meta-analysis of epidemiological studies to evaluate this association.MethodsResearchers searched three databases (PubMed, Embase and Web of Science) through January 2021 for eligible studies. Relative risks (RRs) and 95% CIs in each included studies were pooled by random-effects models. Patients and the public were not involved in our study.ResultsEight studies were identified. Four studies reported significantly positive association between history of cholecystectomy and risk of gastric cancer, and the remaining studies reported null association. The pooled RR of these eight studies showed that a history of cholecystectomy was associated with a 11% higher risk of gastric cancer (pooled RR=1.11, 95% CI: 1.03 to 1.20). Moderate heterogeneity across the studies was detected (p=0.117, I2=37.8%). The pooled RRs were 1.12 (95% CI: 1.01 to 1.24) for five cohort studies and 0.95 (95% CI: 0.66 to 1.38) for three case–control studies. Compared with the risk in Europe and the USA, the pooled RR was higher for two studies conducted in Asia. Six studies were assessed as high-quality studies with the pooled RR of 1.12 (95% CI: 1.02 to 1.23). The pooled results were robust by sensitivity analyses, and no indication of publication bias was detected.ConclusionThis meta-analysis suggests that a history of cholecystectomy may be associated with an increased risk of gastric cancer.

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Section: Discussionmentioning

confidence: 98%

Association between history of cholecystectomy and risk of gastric cancer: a meta-analysis of epidemiological studies

Sun,

Ma,

Yuan

2023

BMJ Open

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“…Several studies [ 13 , 31 , 32 ] indicate that postoperative intussusception should be treated with early surgical intervention, early multi-energy manual reduction, or resection and anastomosis when a blood circulation disorder or even necrosis occurs in the intussuscepted bowel (generally, the intussuscepted bowel has no blood circulation disorder). Laparoscopic surgery for simple intussusception has minimally invasive advantages, but intussusception caused by complex causes should be treated according to the situation.…”

Section: Introductionmentioning

confidence: 99%

Intussusception after reconstruction following gastrectomy for gastric cancer

Xia

Sun

et al. 2021

World J Surg Onc

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Background Gastric cancer is the most prevalent tumor in Chinese men, and surgery is currently the most important treatment. Billroth II and Roux-en-Y are the anastomosis methods used for reconstruction after gastrectomy. Jejunal intussusception is a rare complication after gastric surgery. Main Body Intussusception after gastric surgery occurs mostly at the gastrojejunostomy site for Billroth II reconstruction, and the Y-anastomosis site for Roux-en-Y reconstruction. Many studies have reported that postoperative intussusception appears at the anastomosis after bariatric surgery, while a few have reported intussusception at the anastomosis and its distal end after radical gastrectomy. Conclusion A review was carried out to analyze intussusception after radical gastrectomy with roux-en-y anastomosis during the current situation. And the relevant mechanisms, diagnosis, treatment methods, etc. are described, hoping to provide better guidance for clinicians

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