식도-공장 문합법으로 위 전절제술 후 고정 봉합의 효능

• 영문명: Efficacy of Anchoring Suture after Total Gastrectomy with Esophagojejunostomy
• 발행기관: 조선대학교 의학연구원
• 저자명: 김지훈(Ji Hoon Kim) 김성수(Sung Soo Kim) 민영돈(Young Don Min)
• 간행물 정보: 『The Medical Journal of Chosun University』제39권 제2호, 54~59쪽, 전체 6쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2014.06.30

영문 초록

Esophagojejunostomy after total gastrectomy shows high mortality and morbidity. Complication after esophagojejunostomy was caused by constant tension on esophagojejunostomy in erect-position, resulting in disturbance of blood flow in the anastomotic site. The purpose is to evaluate efficacy of anchoring sutures. Medical charts of patients diagnosed with gastric cancer who underwent total gastrectomy from 1998 to 2008 were analyzed retrospectively. Anchoring suture between jejunum and diaphragm after esphagojejunostomy was performed in all patients. A total of 155 patients were enrolled. Esophagojejunostomy leakage 3, revision operation 2, and conservation 1. Esophagojejunostomy stenosis 1, which was improved by balloon. This procedure could protect the esophagojejunostomy site from traction force.

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키워드

Total gastrectomy Esophagojejunostomy Complication Anchoring suture