Stomal Ulcer Sachiyo Nomura 1 , Ken Haruma 2,3 1Department of Gastrointestinal Surgery, Graduate School of Medicine, The University of Tokyo, Tokyo 2Department of General Internal Medicine 2, Kawasaki Medical School, Kurashiki, Japan 3Department of Clinical Nutrition, Faculty of Medical Professions, Kawasaki University of Medical Welfare, Kurashiki, Japan Keyword: 吻合部潰瘍 , 胃切除後症候群 , 除菌 , H. pylori , 消化性潰瘍 pp.913-920
Published Date 2017/6/25
DOI https://doi.org/10.11477/mf.1403201106
  • Abstract
  • Look Inside
  • Reference

 Anastomotic ulcer is one of the common complications of gastrectomy. However, anastomotic ulcer, sensu stricto, is decreasing due to the decrease of gastrectomy for the treatment of peptic ulcer disease. In contrast, many patients can survive long time after gastrectomy for gastric cancer, and they tend to have anastomotic ulcers on the proximal side of the anastomosis. This is because of lower acid secretion caused by atrophy of the gastric mucosa, cutting of the vagus nerve for lymph node dissection, and use of NSAIDs for the treatment of other diseases. In these situations, Helicobacter pylori eradication is sometimes effective for the cure of ulcer. It is important to select appropriate treatment for anastomotic ulcers based on the etiology.

Copyright © 2017, Igaku-Shoin Ltd. All rights reserved.


電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院