| Complications and radiographic findings | Management |
---|---|---|
Early postoperative (n = 5) | Leaks (n = 2): (5.7%); within 2–4 days (Figs. 2 and 3)) Leakage was at the site of gastrojejunal anastomosis | Percutaneous drainage by pigtail catheter and insertion of naso-enteric tube. |
Perigastric collection and hematoma (n = 3): (8.6%) within 3–7 days (Fig. 1) | The small collection was treated conservatively and the large collection was managed by gastro-jejunostomy | |
Late postoperative (n = 30) | Gatrojujenostomy anastomotic stricture (n = 1) | Endoscopic dilation of the stricture |
Internal hernia (n = 14) (40%): 2–4 years (Fig. 4) Altered disposition of loops and anastomosis Twisting of mesenteric vessels (whirl sign) Dilated bowel loops with mushroom appearance of the distended loops in the left hypochondrium Mesenteric fat planes densification | Medical treatment (case 6) | |
Intestinal obstruction (n = 6) (17%): 2–4 years (Fig. 5) | Treated by laparoscopy (case 1) | |
Intussusception (n = 5) (14.3%): 2–4 years (Fig. 6) | ( cases 20 and 21) | |
luminal narrowing (n = 1) (2.8%): 1 year | Â | |
Distended bowel and weight gain (n = 2) (5.7%): after 4 years | Â | |
Gastroesophageal spasm (n = 1) (2.8%): 9 months | Â |