Fig. 7
From: Early postoperative imaging after non-bariatric gastric resection: a primer for radiologists
A 76-year-old male with stricturing antro-pyloric carcinoma (thick arrow) as preoperatively depicted by CT (A) underwent subtotal gastrectomy with Roux-en-Y reconstruction. Early postoperative CF (B) showed little or no transit through the GJS (arrowhead). On 8th POD during postoperative sepsis, contrast-enhanced CT (C, D) showed normal stapled DS (thin arrows), minimal fluid (*) in the cholecystectomy site. The patient then improved on conservative therapy including gastric intubation. Subsequent endoscopy showed ischaemic ulceration of the GJS. Repeated CT (E, F) three months later showed circumferential mural thickening of the GJS (arrowheads) and perianastomotic nodule (+) consistent with tumour recurrence