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Gan To Kagaku Ryoho. 2012 Nov;39(12):2298-300.

[Postoperative anastomotic hemorrhage after gastrectomy].

[Article in Japanese]

Author information

  • 1Dept. of Gastrointestinal Surgery, Kanagawa Cancer Center, Japan.

Abstract

BACKGROUND:

Postoperative anastomotic hemorrhage is a relatively rare complication. However, when it does occur, immediate treatment is needed.

METHODS:

In all, 1,700 patients underwent curative gastrectomy between 2000 and 2010. Anastomotic hemorrhage was observed in 9 patients after surgery. The clinical course of these 9 patients was analyzed.

RESULTS:

The median age of the patients was 62 years, and all patients were men. Two patients underwent distal gastrectomy, 1 underwent laparoscopic distal gastrectomy, and 6 underwent total gastrectomy. Bleeding occurred as follows: 5 were at gastro- or esophagojejunostomic site, 2 were at gastroduodenostomic site, and 2 were at jejunojejunostomic site. Five patients received conservative treatment and 2 underwent re-operation. Two additional patients achieved complete hemostasis with endoscopic treatment. The patients who received endoscopic treatment were discharged earlier than those who received other treatments.

CONCLUSIONS:

Endoscopic intervention was useful for the diagnosis and treatment of postoperative anastomotic hemorrhage.

PMID:
23268056
[PubMed - indexed for MEDLINE]
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