|
KMID : 0371319690110080507
|
|
Journal of the Korean Surgical Society
1969 Volume.11 No. 8 p.507 ~ p.513
|
|
|
Early Postgastrectomy Complications
|
|
白樂晥/Paik, R.W.
崔學龍/金潤洙/李昌玉/Choi, H.Y./Kim, Y.S./Lee, C.O.
|
|
|
Abstract
|
|
|
Early postoperative complications were reviewed for the patients who under went partial gastrectomy at Paik Foundation Hospital for the last 7 years and 8 months from Jan. 1961 to Aug. 1968.
64 patients among 402 gastrectomies had 77 complications (19.2%); 32 complications (8.0%) specific to gastrectomy and 45 complications (11.2%) nonspecific.
Among the complications specific to gastrectomy there were 3 cases of gastric retention (0.8%), 1 case of typical dumping syndrome (0.3%), 1 case of gastrointestinal anastomotic stomal leakage (0.3%), and no duodenal stump leakage.
These incidences were far less than those reported previously in U.S.A. and Europe.
There were 8 cases (2.0%) of early postoperative G-I bleeding; 6 cases among 174 patients (3.4%) for whom continuous mucosal suture was applied once for the gastrointestinal anastomosis and closure of the remaining gastric stump (Hofmeister) before 1964, and 2 cases among 228 patients (0.9%) for whom continuous mucosal suture was applied twice for the purpose after 1964.
It seemed that the incidence of postoperative G-I bleeding were responsible for the suture technique performed.
There were 2 cases of death, and mortality was 0.5%.
Therefore we prefor to repeat continuous mucosal suture twice for gastro-intestinal anastomosis and closure of the remaining gastric stump (Hofmeister) for the prevention of early postoperative G-I bleeding.
|
|
|
KEYWORD
|
|
|
|
|
|
FullTexts / Linksout information
|
|
|
|
|
Listed journal information
|
|
  
|