Figure 1a: Endoscopic gastroscopic imaging and an endoscopic ultrasound showing carcinoma of the gastric cardia and fundus

Figure 1b: Abdominal Computer Tomography Scan imaging for case one revealing a tumour of the gastric cardia and fundus

Figure 2a: An endoscopic examination showing some atrophic gastritis eroded lesion

Figure 2b: Abdominal and chest CT scan for case two gastric wall of the stomach body is locally thickened. Liver SVI calcification

Figure 3a: CT abdominal results showing some gastric lesions and tumour of the gastric cardia and fundus

Figure 3b: An endoscopic examination

Figure 3c: Shows some pathological and PET investigations

Figure 4a: Abdominal and chest CT scan showing tumors around the gastric cardia

Figure 4b: An endoscopic examination showing advanced tumours of the gastric cardia with some metal stents

Figure 5: Schematic diagram of the double passage and uncut reconstruction

Figure 6: A straight-cut closure closes the jejunum-jejunum common opening to a dual channel

Case

Complications

Length of postoperative
hospital stay

Blood loss
(ml)

Surgical time
(minutes)

Surgical procedure

Time of passing out of flatus post
operatively(days)

Pre- operative
diagnosis

Age(years)

 

One

Nil

9

150

245

Double passage
+ Uncut

5

Gastric cardiac
Carcinoma

43

Two

Nil

11

110

225

Double passage
+Uncut reconstruction

3

Gastric malignant
tumor

51

Three

Nil

8

85

200

Double passage
+ Uncut

5

Gastric malignant
tumor

61

Four

Nil

9

70

185

Double passage
+ Uncut

4

Gastric malignant
tumor

57

Nil-no complications; all patients were males
Table 1: Summary of each case preoperatively, intraoperatively and post operatively