Open AccessManagement of post-gastrectomy anastomosis site obstruction with a self-expandable metallic stent
Author(s) -
Ra Ri
Publication year - 2015
Publication title -
world journal of gastroenterology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.427
H-Index - 155
eISSN - 2219-2840
pISSN - 1007-9327
DOI - 10.3748/wjg.v21.i16.5110
Subject(s) - medicine , anastomosis , stent , gastrectomy , surgery , gastric outlet obstruction , self expandable metallic stent , perforation , roux en y anastomosis , vomiting , complication , gastroenterostomy , upper gastrointestinal series , abdominal pain , general surgery , stomach , gastroenterology , gastric bypass , weight loss , cancer , materials science , punching , metallurgy , obesity
Post-gastrectomy anastomosis site obstruction is a relatively rare complication after a subtotal gastrectomy. We present a case of a 75-year-old man who underwent a truncal vagotomy, omental patch, gastrojejunostomy, and Braun anastomosis for duodenal ulcer perforation and a gastric outlet obstruction. Following the 10(th) postoperative day, the patient complained of abdominal discomfort and vomiting. We diagnosed post-gastrectomy anastomosis site obstruction by an upper gastrointestinal series and an upper endoscopic examination. We inserted a self-expandable metallic stent (SEMS) at the anastomosis site. The stent was fully expanded after deployment. On the day following the stent insertion, the patient began to eat, and his abdominal discomfort was resolved. This paper describes the successful management of post-gastrectomy anastomosis site obstruction with temporary placement of a SEMS.