15 Filling Defects in the Gastric Remnant

CLINICAL IMAGAGINGAN ATLAS OF DIFFERENTIAL DAIGNOSIS

EISENBERG

DR. Muhammad Bin Zulfiqar PGR-FCPS III SIMS/SHL

• Fig GI 15-1 Suture granuloma. Large mass at the greater curvature side of the antrum (arrow) projects as a smooth tumor into the gastric lumen.21

• Fig GI 15-2 Bezoar. The mass of retained food particles produces a mottled appearance.

• Fig GI 15-3 Gastric stump carcinoma. (A) Normal gastric remnant and Billroth-II anastomosis after surgery for peptic disease. (B) Irregular narrowing of the perianastomotic region (arrows) several years later represents a gastric stump carcinoma.

• Fig GI 15-4 Recurrent gastric carcinoma. Tumor infiltration narrows the gastric lumen (arrow).

• Fig GI 15-5 Bile reflux gastritis.

• Fig GI 15-6 Jejunogastric intussusception (afferent loop) producing a large, sharply defined filling defect (arrows).

• Fig GI 15-7 Gastrojejunal mucosal prolapse producing a large, partially obstructing mass in the efferent loop (arrows).