PMC5371510_01
Preoperative barium meal (A, B) demonstrates a micro-stomach and a very rapid transit in the small bowel. (C-E) Hunt-Lawrence pouch. Isolation of the jejunal tract (C), preparation of the jejunal pouch (D), and gastrojejunal anastomosis (E). Barium meal performed 11 days after surgery (F) demonstrating the absence of leakage or obstruction of the jejunal pouch (red circle).
10-1055-s-0037-1601305-i160310cr-1.jpg
PMC5371510_01_10-1055-s-0037-1601305-i160310cr-1.jpg
FI160310cr-1
We repeated a barium meal study that showed a normal esophagus, a very small tubular stomach with a very rapid transit of the contrast to the small bowel (Fig. 1A-C). We decided to perform an HLP with a nutritional catheter jejunostomy (Fig. 1C-E, Fig. 2).