Unusual Complications of Subtotal Gastric Resection

Stuart, John R.; Jordan, Paul H.

doi:10.1001/archsurg.1957.01280090157020

Cited by 13 publications

(1 citation statement)

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“…4 Die röntgenologische Kontrastdarstellung der Speiseröhre nach der Wiederherstellung der Kontinuität des Nahrungskanals. G. Szßcs, I. Tóth, Eine seltene Komplikation ¼ Zentralbl Chir 2001; 126: 810 ± 813Der interessante Fall "04_00", 1.11.01/Mihr GmbH sind der Meinung, daû die Gastrektomie zu überlegen ist, falls die A. gastrica sinistra vor ihrer Bifurkation unterbunden wird und die Splenektomie erfolgt, da die Blutversorgung des Magens dann unsicher wird[1, 3,5,6,14,16,18]. Bei unserem Patienten war dies der Fall, obwohl der Stumpf während der Operation nicht ischämisch erschien, trat die Nekrose ein.…”

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Eine seltene Komplikation - ischämische Stumpfnekrose - nach subtotaler Magenresektion

Szücs¹,

Tóth²

2001

Zentralbl Chir

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The development of gastric stump necrosis after subtotal gastrectomy with Roux-en-Y loop reconstruction and splenectomy in a patient with gastric cancer is described. The patient's life could be saved by re-operations on the 12th and 50th postoperative day. Due to the patient's poor general condition and local peritonitis the gastric stump was removed and a catheter-jejunostomy was prepared by using the Roux-en-Y loop. The aboral end of the oesophagus was closed. To relieve the oesophageal stump a cervical mucoso-oesophagostoma was carried out. As the patient's general condition improved the reconstruction of the alimentary tract was performed by preparing a new Roux-en-Y loop oesophago-jejunostomy and by closing the mucoso-oesophagostoma.9 years after the operation the patient died of pulmonary metastases. The reasons for the delayed re-operation and the advantages of the cervical mucoso-oesophagostoma are explained.

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