胃空肠吻合术吻合口漏的处理

P. Bhatia, H. Sheth, S. Bhatia, S. Baig
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引用次数: 0

摘要

一次胃旁路吻合后的渗漏是根据出现的时间和是否存在腹膜炎来处理的。由于胆道性腹膜炎的潜在严重性,再次手术被强烈提倡。最近,非手术治疗越来越多地被采用,特别是对于钉线断裂或未指明的泄漏。我们报告在胃空肠吻合术中成功使用带盖食管支架并获得良好的结果。
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Management of gastrojejunostomy anastomotic leak post one anastomosis gastric bypass with a covered stent alone
Leaks after one anastomosis gastric bypass are managed based on the timing of presentation and the presence or absence of peritonitis. Reoperation is strongly advocated because of the potential severity of biliary peritonitis. Recently, nonoperative treatment is being increasingly employed, especially for staple line disruptions or unspecified leaks. We report successful usage of a covered esophageal stent in a gastrojejunostomy anastomosis leak with a favorable outcome.
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