Publication Name	World Journal of Gastrointestinal Surgery
Manuscript ID	78761
Country	Japan

Received	2022-07-25 13:34
Peer-Review Started	2022-07-25 13:36
To Make the First Decision
Return for Revision	2022-09-04 06:28
Revised	2022-09-16 14:18
Second Decision	2022-10-31 03:34
Accepted by Journal Editor-in-Chief
Accepted by Company Editor-in-Chief	2022-10-31 22:04
Articles in Press	2022-10-31 22:04
Publication Fee Transferred
Edit the Manuscript by Language Editor
Typeset the Manuscript	2022-11-17 03:52
Publish the Manuscript Online	2022-11-25 09:29

ISSN	1948-9366 (online)
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Category	Surgery
Manuscript Type	Observational Study
Article Title	Disturbed passage of jejunal limb near esophageal hiatus after overlapped esophagojejunostomy following laparoscopic total gastrectomy
Manuscript Source	Unsolicited Manuscript
All Author List	Hirokazu Noshiro, Keiichiro Okuyama and Yukie Yoda
Funding Agency and Grant Number
Corresponding Author	Hirokazu Noshiro, FACS, MD, PhD, Professor, Surgeon, Surgery, Saga University Faculty of Medicine, Nabeshima 5-1-1, Saga 849-8501, Japan. noshiro@cc.saga-u.ac.jp
Key Words	Laparoscopic total gastrectomy; Overlapped esophagojejunostomy; Anastomotic stenosis; Adhesiolysis; Gastric carcinoma
Core Tip	Overlapped esophagojejunostomy (OEJ) is a secure purely laparoscopic reconstruction after laparoscopic total gastrectomy (LTG). However, disturbed passage through the jejunal limb near the esophageal hiatus can occur. In this paper, mechanisms and prevention for this complication are described. Five patients (2.4%) had disturbed oral intake and marked weight loss, all had unusual jejunal limb stricture after LTG and OEJ. Reoperation for adhesiolysis and division of the left crus and rearrangement of the jejunal limb was required. Prevention for this complication is possible during the original LTG procedure.
Publish Date	2022-11-25 09:29
Citation	Noshiro H, Okuyama K, Yoda Y. Disturbed passage of jejunal limb near esophageal hiatus after overlapped esophagojejunostomy following laparoscopic total gastrectomy. World J Gastrointest Surg 2022; 14(11): 1285-1296
URL	https://www.wjgnet.com/1948-9366/full/v14/i11/1285.htm
DOI	https://dx.doi.org/10.4240/wjgs.v14.i11.1285

Full Article (PDF)	WJGS-14-1285.pdf
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