Early Rupture of an Ultralow Duodenal Stump after Extended Surgery for Gastric Cancer with Duodenal Invasion Managed by Tube Duodenostomy and Cholangiostomy
Joint Authors
Katsaouni, Stavroula P.
Hatzigeorgiadis, Anestis
Blouhos, Konstantinos
Boulas, Konstantinos A.
Konstantinidou, Anna
Salpigktidis, Ilias I.
Ioannidis, Konstantinos
Source
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-09-18
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
When dealing with gastric cancer with duodenal invasion, gastrectomy with distal resection of the duodenum is necessary to achieve negative distal margin.
However, rupture of an ultralow duodenal stump necessitates advanced surgical skills and close postoperative observation.
The present study reports a case of an early duodenal stump rupture after subtotal gastrectomy with resection of the whole first part of the duodenum, complete omentectomy, bursectomy, and D2+ lymphadenectomy performed for a pT3pN2pM1 (+ number 13 lymph nodes) adenocarcinoma of the antrum.
Duodenal stump rupture was managed successfully by end tube duodenostomy, without omental patching, and tube cholangiostomy.
Close assessment of clinical, physical, and radiological signs, output volume, and enzyme concentration of the tube duodenostomy, T-tube, and closed suction drain, which was placed near the tube duodenostomy site to drain the leak around the catheter, dictated postoperative management of the external duodenal fistula.
American Psychological Association (APA)
Blouhos, Konstantinos& Boulas, Konstantinos A.& Konstantinidou, Anna& Salpigktidis, Ilias I.& Katsaouni, Stavroula P.& Ioannidis, Konstantinos…[et al.]. 2013. Early Rupture of an Ultralow Duodenal Stump after Extended Surgery for Gastric Cancer with Duodenal Invasion Managed by Tube Duodenostomy and Cholangiostomy. Case Reports in Surgery،Vol. 2013, no. 2013, pp.1-5.
https://search.emarefa.net/detail/BIM-471652
Modern Language Association (MLA)
Blouhos, Konstantinos…[et al.]. Early Rupture of an Ultralow Duodenal Stump after Extended Surgery for Gastric Cancer with Duodenal Invasion Managed by Tube Duodenostomy and Cholangiostomy. Case Reports in Surgery No. 2013 (2013), pp.1-5.
https://search.emarefa.net/detail/BIM-471652
American Medical Association (AMA)
Blouhos, Konstantinos& Boulas, Konstantinos A.& Konstantinidou, Anna& Salpigktidis, Ilias I.& Katsaouni, Stavroula P.& Ioannidis, Konstantinos…[et al.]. Early Rupture of an Ultralow Duodenal Stump after Extended Surgery for Gastric Cancer with Duodenal Invasion Managed by Tube Duodenostomy and Cholangiostomy. Case Reports in Surgery. 2013. Vol. 2013, no. 2013, pp.1-5.
https://search.emarefa.net/detail/BIM-471652
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-471652