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Esophago-jejunostomy Retained gast antrum

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Comment by saeed rad on April 3, 2011 at 1:01am
Dear Dr Wael, There is total gastrectomy with esophago-jejunal anastomosis. This is the usual operation surgeons do considering prepyloric vein on the outer surface of the stomach to do total gastrectomy, Sometimes the surgeon didn't notice the prepyloric vein and consequently a bit of gastric antrum is remained with the duodenum. As the gastric antrum is the main provocative gastrin secretion, patient could attain ulcers post-operatively. Here you can see the remaining of the gastric antrum with duodenum. Thanks for your remarks.
Comment by Wael Nemattalla on April 2, 2011 at 7:51pm
Please Dr. Saeed can you explain us the findings?

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