ArticleSurgical case reports2026
Remnant Gastric Necrosis after Laparoscopic Distal Gastrectomy Managed with Double-Elemental Diet Tube and Laparoscopic Gastrojejunostomy: A Case Report.
Article in Surgical case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionAlthough the stomach has a robust intramural microvascular network and is generally considered resistant to ischemia, remnant gastric necrosis after gastrectomy is very rare and potentially fatal. However, diagnosis can be challenging, and optimal management strategies are still not well established. CASE PRESENTATION: A 78-year-old man with hypertension, arteriosclerosis, chronic renal dysfunction, chronic obstructive pulmonary disease, internal carotid artery stenosis on antiplatelet therapy, long-term heavy smoking, and daily alcohol intake presented with anemia. Esophagogastroduodenoscopy (EGD) revealed a type 3 tumor in the lower stomach. Histopathological examination of biopsied specimens revealed moderately differentiated adenocarcinoma with poorly differentiated components. Preoperative imaging revealed severe vascular calcification of the abdominal aorta and splenic artery. The patient underwent laparoscopic distal gastrectomy with D1+ lymphadenectomy and Billroth I reconstruction (delta-shaped anastomosis). Postoperatively, he developed fever and elevated C-reactive protein levels without clinical or radiological evidence of peritonitis or shock. Contrast-enhanced CT and EGD revealed circumferential mucosal necrosis in the distal remnant stomach. A double-elemental diet (W-ED) tube was placed for intragastric decompression and enteral feeding. A minor anastomotic leak resolved with conservative management. However, a severe anastomotic stricture required an elective laparoscopic gastrojejunostomy (Billroth II with Braun anastomosis). The patient recovered and remained disease-free with stable oral intake for 4 years.
conclusionsConservative management using a W-ED tube, followed by elective gastrojejunostomy for stricture, may be a viable treatment option for remnant gastric necrosis after distal gastrectomy in patients with high surgical risk when peritonitis is absent and systemic status is stable.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.