Disturbed passage of jejunal limb near esophageal hiatus after overlapped esophagojejunostomy following laparoscopic total gastrectomy

Table 2 Summary of clinical findings and procedures in the five patients at the reoperation

Case	1	2	3	4	5
Age	69	67	80	76	66
Interval from the 1st operation (mo)	7	9	8	5	21
Preoperative endoscopy
Anastomotic stricture	-	-	-	-	-
Recurrence	-	-	-	-	-
Efferent scope passage	+	+	+	+	+
Bending or tortuous	+	+	+	+	+
Preoperative UGI series
Esophagus dilatation	+	+	+	+	+
Length of jejunal stricture	1.5 cm	0.8 cm	occluded	1.0 cm	1.0 cm
Bending or tortuous	+	+	+	+	+
Preoperative CT
Recurrence	-	-	-	-	-
Pneumonia	+	-	-	+	-
Approach	Laparoscopic	Laparoscopic	Laparoscopic	Laparoscopic	Laparoscopic
Operation time (min)	66	255	118	203	113
Blood loss (mL)	3	223	45	36	10
Number of ports	4	5	5	5	5
Adhesiolysis	+	++	+	+	+
Intraoperative endoscopy	+	+	+	-1	+
Fixation of jejunum	-	+	+	+	+
Left crus cutting	+	+	+	+	+
Resume of oral intake (POD)	1	3	2	2	1
Length of hospital stay (d)	5	7	22	9	6
Postoperative complications	-	-	-	-	-

¹Air insufflation through the nasogastric tube.

UGI: Upper gastrointestinal; CT: Computed tomography; POD: Postoperative day.