In:
Asian Journal of Endoscopic Surgery, Wiley, Vol. 7, No. 2 ( 2014-05), p. 169-171
Abstract:
A 54‐year‐old man was admitted to our hospital with severe nausea, vomiting and abdominal pain. He had had laparoscopy‐assisted total gastrectomy with R oux‐en‐ Y reconstruction and tube jejunostomy for gastric cancer 2 years earlier. Abdominal CT revealed that the duodenum and upper jejunum were markedly dilated and that the dilated jejunum had collapsed at the jejunostomy site. Emergency laparoscopic surgery with three ports was performed for jejunostomy‐related ileus. Abdominal adhesion was very small, and the R oux‐en‐ Y limb was rotated counterclockwise at the jejunostomy site. A magnified laparoscopic view showed that the site of peritoneopexy was the axis of rotation. After the axis was dissected with a H armonic scalpel, the rotation was released immediately. The patient's postoperative course was uneventful and he was discharged 4 days after the operation. Because the axis of rotation was identified easily by laparoscope, laparoscopic surgery was a safe and useful technique for a patient with jejunostomy‐related ileus.
Type of Medium:
Online Resource
ISSN:
1758-5902
,
1758-5910
DOI:
10.1111/ases.2014.7.issue-2
Language:
English
Publisher:
Wiley
Publication Date:
2014
detail.hit.zdb_id:
2492135-X
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