Japanese

A case of anastomotic stenosis following laparoscopic distal gastrectomy with delta-shaped gastroduodenal anastomosis Shiro FUJIHATA 1 , Minoru YAMAMOTO 1 , Keisuke NONOYAMA 1 , Kaori WATANABE 1 , Hidehiko KITAGAMI 1 , Moritsugu TANAKA 1 1Department of Surgery, Kariya Toyota General Hospital Keyword: デルタ吻合 , 吻合部狭窄 , ステロイド pp.305-310
Published Date 2017/5/15
DOI https://doi.org/10.11477/mf.4426200404
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A 79-year-old woman was diagnosed with gastric cancer, cT2 N0 M0. She underwent laparoscopic distal gastrectomy with delta-shaped gastroduodenal anastomosis. She started to vomit few times a day from postoperative day 2. Computed tomography(CT) examination revealed inflammatory and edematous changes around the anastomotic region. Upper gastrointestinal tests showed passage disorder and the diagnosis of anastomotic edematous stenosis was made. The disorder continued so Hydrocortisone Sodium Succinate (Solu-Cortef) was administered intravenously. The abdominal symptom improved the next day after Solu-Cortef administration, and the patient was able to eat. This case suggests that low dose, low titer steroid is effective for anastomotic edematous stenosis following laparoscopic distal gastrectomy with delta-shaped anastomosis.


Copyright © 2017, JAPAN SOCIETY FOR ENDOSCOPIC SURGERY All rights reserved.

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電子版ISSN 2186-6643 印刷版ISSN 1344-6703 日本内視鏡外科学会

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