| Endoscopic treatment and risk factors of postoperative anastomotic bleeding after gastrectomy for gastric cancer. | |
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MedLine Citation:
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PMID: 23022923 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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BACKGROUND: Anastomotic leakage, bleeding, and stricture are major complications after gastrectomy. Of these complications, postoperative anastomotic bleeding is relatively rare, but lethal if not treated immediately. METHODS: Of 2031 patients with gastric cancer who underwent radical gastrectomy (R0 resection) between January 2002 and December 2010, postoperative anastomotic bleeding was observed in 7 patients. The clinicopathological features, postoperative outcomes such as surgical procedures, bleeding sites and, methods used to achieve hemostasis, and the risk factors of anastomotic bleeding of these 7 patients were analyzed. RESULTS: Of the 2031 patients, 1613 and 418 underwent distal and total gastrectomy, respectively. The bleeding sites were as follows: Billroth-I anastomosis using a circular stapler (n=1), Billroth-II anastomosis by manual suture (n=5), and esophagojejunostomy using a circular stapler (n=1). All patients were treated with endoscopic clipping or epinephrine injection. There was no further endoscopic intervention or reoperation for anastomotic bleeding. CONCLUSIONS: Postoperative anastomotic bleeding is an infrequent but potentially life-threatening complication. Scrupulous surgical procedures are essential for the prevention of postoperative bleeding, and endoscopy was useful for both the confirmation of bleeding and therapeutic intervention. |
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Authors:
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Ki-Han Kim; Min-Chan Kim; Ghap-Joong Jung; Jin-Seok Jang; Seok-Ryeol Choi |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2012-9-26 |
Journal Detail:
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Title: International journal of surgery (London, England) Volume: - ISSN: 1743-9159 ISO Abbreviation: Int J Surg Publication Date: 2012 Sep |
Date Detail:
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Created Date: 2012-10-1 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101228232 Medline TA: Int J Surg Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
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Copyright © 2012. Published by Elsevier Ltd. |
Affiliation:
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Department of Surgery, Dong-A University College of Medicine, Busan, Korea. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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