A-14: Laparoscopic Gastrojejunostomy: A Simple, Safe and Cost-Effective Procedure for Gastric Outlet Obstruction

Abstract

Background: Gastric outlet obstruction (GOO), commonly resulting from pepticulcer disease, malignancy, or corrosive strictures, poses significant challenges in surgical management. Laparoscopic gastrojejunostomy (LGJ) has emerged as a minimally invasive alternative to open surgery, offering effective palliation or definitive bypass with reduced surgical trauma. This approach combines the therapeutic reliability of conventional gastrojejunostomy with the benefits of laparoscopic technique, making it increasingly favored in both elective and palliative settings. Case Presentation: A review of cases undergoing LGJ demonstrated shorter operative times with growing surgeon experience, reduced blood loss, earlier return of bowel function, and shorter hospital stays compared to open gastrojejunostomy. Postoperative pain scores and wound-related complications were notably lower in the laparoscopic cohort, while anastomotic patency and symptom resolution remained comparable to conventional outcomes, confirming oncological and functional non-inferiority. Conclusion: LGJ represents a technically feasible, reproducible, and economically viable option for managing GOO, particularly valuable in resource limited settings. Surgeons should consider adopting this approach as a standard technique, balancing cost-effectiveness with improved patient recovery and satisfaction, without compromising surgical outcomes.