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Palliation of unresectable gastric carcinoma by conventional gastrojejunostomy is associated with significant morbidity and mortality. Laparoscopic gastrojejunostomy may be an alternative as it can achieve the same results with less morbidity. This is a case report of a 68-year-old man with an obstructed, unresectable gastric carcinoma that has metastasized to the lungs and liver. Attempt at laser boring was unsuccessful. Laparoscopic assessment revealed an immobile tumour fixed to the pancreas. A totally intraabdominal laparoscopic gastrojejunostomy was fashioned with endoGIAs (USSC Norwalk, CT). Operation time was 85 minutes. He was able to tolerate feeds on the 3rd postoperative day (POD), diet on the 5th POD and was discharged on the 8th POD. Satisfactory palliation at home was achieved for ten weeks before death. Laparoscopic gastrojejunostomy is thus a good option for palliation of obstructed advanced gastric cancer.
C K Kum, and
C H Yap, and
P M Goh
December 2002,
Surgical laparoscopy, endoscopy & percutaneous techniques,
C K Kum, and
C H Yap, and
P M Goh
April 1998,
Surgical laparoscopy & endoscopy,
C K Kum, and
C H Yap, and
P M Goh
June 2009,
Surgical laparoscopy, endoscopy & percutaneous techniques,
C K Kum, and
C H Yap, and
P M Goh
January 2021,
Cancer management and research,
C K Kum, and
C H Yap, and
P M Goh
January 2017,
Surgical endoscopy,
C K Kum, and
C H Yap, and
P M Goh
January 2022,
Frontiers in oncology,
C K Kum, and
C H Yap, and
P M Goh
February 2004,
Journal of laparoendoscopic & advanced surgical techniques. Part A,
C K Kum, and
C H Yap, and
P M Goh
June 2009,
The Indian journal of surgery,
C K Kum, and
C H Yap, and
P M Goh
January 1999,
Hepato-gastroenterology,
C K Kum, and
C H Yap, and
P M Goh
October 1998,
Surgical laparoscopy & endoscopy,
