ID 110262
Title Transcription
Yキャク フンゴウブ キョウサク オ ガッペイ シタ チョウ コウレイシャ イ ゼンテキ ノ イチレイ
Title Alternative
A case of the total gastrectomy complicated by stenosis of the Y anastomotic site
Author
Kitade, Takashi Department of Surgery, Hyogo Prefectural Awaji Hospital
Koyama, Takashi Department of Surgery, Hyogo Prefectural Awaji Hospital
Kurisu, Sigeru Department of Surgery, Hyogo Prefectural Awaji Hospital
Umeki, Masahiko Department of Surgery, Hyogo Prefectural Awaji Hospital
Miyamoto, Katsuhumi Department of Surgery, Hyogo Prefectural Awaji Hospital
Ohishi, Tatsuro Department of Surgery, Hyogo Prefectural Awaji Hospital
Takahashi, Hideyuki Department of Surgery, Hyogo Prefectural Awaji Hospital
Morimoto, Shinya Department of Surgery, Hyogo Prefectural Awaji Hospital
Hiraoka, Yumiko Department of Surgery, Hyogo Prefectural Awaji Hospital
Keywords
total gastrectomy
stapling anastomosis
anastomotic stenosis
Content Type
Journal Article
Description
An 88-year-old male patient was referred to our hospital after being diagnosed with gastric cancer during extensive investigations for anemia. The patient underwent total gastrectomy followed by Roux-en Y reconstruction. An esophagus jejunum anastomosis was performed using a Curbed-Shaft Detachable Head Circular Stapler (25 mm)(CDH25). An anastomosis of the jejunum was performed approximately 40 cm distal to the esophagus jejunum anastomosis using a Straight Shaft Detachable Head Circular Stapler(21 mm)(SDH21). A seromuscular suture was applied to each anastomotic site. The patient started oral intake on Day 8 after the operation, and was transferred to the urology department on Day 22 for the treatment of renal cancer. Approximately 2 weeks after the transfer, the patient developed fever above 38℃. CT revealed marked enlargement of the duodenum, suggesting stenosis at the Y anastomotic site. The stenosis was successfully treated by endoscopic balloon dilatation without performing. Here, we report a case with favorable outcome.
Journal Title
四国医学雑誌
ISSN
00373699
NCID
AN00102041
Publisher
徳島医学会
Volume
64
Issue
5-6
Start Page
256
End Page
259
Sort Key
256
Published Date
2008-12-20
FullText File
language
jpn
TextVersion
Publisher