Study of Post-Operative Course of Events in Loop Gastrojejunostomy vs Roux-en-Y Gastrojejunostomy in Benign Gastric Outlet Obstruction Disorders

Aim of study: To compare the outcome of loop gastrojejunostomy vs Roux-en-Y gastrojejunostomy in terms of post-operative complications like bloating, vomiting, abdominal distension, melena and hematemesis. Objectives of study: To perform upper GI Endoscopy at the end of 1, 3 and 6 months after surgery and look for stomal ulceration, bile reflux, anastomotic site stricture, gastritis and correlate with the symptoms and use as guide in management in the follow up. Materials& Methodology: Data source: Patients from general Surgery and Gastro-surgery department of Civil Hospital Ahmedabad were enrolled in the study from July 2015 to July 2017. Inclusion criteria: Operated cases of loop gastrojejunostomy and Roux-en-Y gastrojejunostomy for benign gastric outlet obstruction above age of 13 years. Exclusion criteria: Cases operated for malignant causes, Age less than13years. Results: Alkaline reflux was present in both the groups but the number of patients with alkaline reflux were quite higher in patients operated for loop GJ as compared to Roux-en-Y GJ at the end of 1stmonth, 3rd month, and 6th month.