이중통로문합술을 이용한 복강경하 근위 위절제술 후 발생한 소장 폐색의 내시경 치료
Endoscopic Treatment of a Twisted Small Bowel Obstruction after Laparoscopic Proximal Gastrectomy with Double Tract Reconstruction
박기범, 전성우,
소속 상세정보
박기범 ( Park Ki-Bum )
Kyungpook National University School of Medicine Department of Surgery
전성우 ( Jeon Seong-Woo )
Kyungpook National University School of Medicine Department of Internal Medicine
Abstract
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.
키워드
Intestine, small; Gastrectomy; Endoscopy; Stents
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