Obesity surgery · 2017
Proximal Gastrectomy with Double Tract Reconstruction Is an Alternative Revision Surgery for Intractable Complications After Sleeve Gastrectomy.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Oshiro Takashi, Sato Yu, Nabekura Taiki, Kitahara Tomoaki, Sato Ayami, Kadoya Kengo, Kawamitsu Kentarou, Takagi Ryuichi, Nagashima Makoto, Okazumi Shinichi, Katoh Ryoji
Аннотация
Gastric leakage and stricture are challenging complications of sleeve gastrectomy (SG). Failure of endoscopic intervention necessitates revision surgery. We describe two cases in which proximal gastrectomy with double tract reconstruction (PG with DTR) was performed in patients with chronic gastric fistula and twisted gastric tube after SG. Following resection of the affected part of the proximal stomach, reconstruction was achieved with three anastomoses [esophagojejunostomy (EJ), gastrojejunostomy (GJ), and jejunojejunostomy]. DTR provides two exit routes, the remnant stomach and the distal jejunum. The GJ was created 15 cm below the EJ with a stoma 10 mm in diameter, which can pass a standard endoscope. Both cases were a success without any short-term complications. PG with DTR could be an alternative option for refractory complications of SG.