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.