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KMID : 0614620200750050296
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Korean Journal of Gastroenterology
2020 Volume.75 No. 5 p.296 ~ p.299
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Endoscopic Treatment of a Twisted Small Bowel Obstruction after Laparoscopic Proximal Gastrectomy with Double Tract Reconstruction
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Park Ki-Bum
Jeon Seong-Woo
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Abstract
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This paper reports a case of a twisted small bowel obstruction in a 74-year-old man that occurred after a double tract reconstruction (DTR) in a laparoscopic proximal gastrectomy (PG) for early gastric cancer. The patient had inadequate oral intake and reflux symptoms for 10 days after discharge. Imaging analysis revealed a narrowed small bowel with twists between the esophagojejunostomy and gastrojejunostomy sites. A fully covered stent was placed in the narrowed small bowel for 2 weeks. The patient was then discharged after stent removal without any dietary problems. The authors’ experience shows that twisted small bowel after a DTR in PG can be treated by endoscopy.
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KEYWORD
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Intestine, small, Gastrectomy, Endoscopy, Stents
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