ID 110188
Title Transcription
ゴウセイ キュウシュウセイ ユチャク ボウシザイ オ シヨウシタ イ ゼンテキ ジュツゴ ニ ハッショウシタ コウヤクセイ イレウス ノ イチレイ
Title Alternative
A case of strangulation ileus after total gastrectomy using composition absorbent materials to prevent adhesion
Author
Kenzaki, Koichiro Department of Oncological and Regenerative Surgery, Institute of Health Biosciences, The University of Tokushima Graduate School
Kajikawa, Aiichiro Higashi Tokushima National Hospital
Honda, Junko Department of Oncological and Regenerative Surgery, Institute of Health Biosciences, The University of Tokushima Graduate School
Yuasa, Yasuhiro Department of Oncological and Regenerative Surgery, Institute of Health Biosciences, The University of Tokushima Graduate School
Yamai, Hiromichi Department of Oncological and Regenerative Surgery, Institute of Health Biosciences, The University of Tokushima Graduate School
Takechi, Hirokazu Department of Oncological and Regenerative Surgery, Institute of Health Biosciences, The University of Tokushima Graduate School Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Yoshida, Takahiro Department of Oncological and Regenerative Surgery, Institute of Health Biosciences, The University of Tokushima Graduate School Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Seike, Junichi Department of Oncological and Regenerative Surgery, Institute of Health Biosciences, The University of Tokushima Graduate School
Tangoku, Akira Department of Oncological and Regenerative Surgery, Institute of Health Biosciences, The University of Tokushima Graduate School Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Keywords
seprafilm
strangulation ileus
postoperative complication
short bowel syndrome
gastric cancer
Content Type
Journal Article
Description
The patient was a 50-year-old male. He underwent total gastrectomy with complication ablationof the greater omentum for gastric cancer. We used composition absorbent materials toprevent adhesion(seprafilm_)at closing of the abdominal wall. When he consulted our hospital forabdominal pain after 7 months later, we diagnosed the patient as having adhesive ileus. Severalhours later, he demonstrated abdominal swelling and fell into shock. Therefore, we performedurgent abdominal surgery. There were large quantities of cacosmia ascites and no adhesion exceptat only one point between the bottom of the previous wound and the small intestine. Weconfirmed strangulation ileus that had turned the small intestine with 360°dextroversion centeringon the adhesion point and the superior mesenteric artery root. Because most of small intestinehad become swollen and necrotized, we performed wide small intestinal resection with about 60cmsmall intestines survived. Currently we are following the patient with at-home intravenous hyperalimentationafter two further reoperations. At the time of the first operation, we had applied seprafilm. This patient had a very late case of strangulation ileus, because there was almost noadhesion. This case represents a rare r side effect reports, involving shock, infection developingafter the use of seprafilm.
Journal Title
四国医学雑誌
ISSN
00373699
NCID
AN00102041
Publisher
徳島医学会
Volume
63
Issue
3-4
Start Page
138
End Page
142
Sort Key
138
Published Date
2007-08-25
FullText File
language
jpn
TextVersion
Publisher
departments
University Hospital
Medical Sciences