A NEW DEVICE OF JEJUNUM INTERPOSTION IN A CASE OF NECROSED GASTRIC TUBE AFTER RETROSTERNAL GASTRIC TUBE RECONSTRUCTION
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- FUKUDA Chifumi
- Department of Surgery, Joto Social Insurance Hospital
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- IDE Hiroko
- Hamacho Center Building Clinic
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- SATO Yuichi
- Department of Surgery, Joto Social Insurance Hospital
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- NOZAKI Mikihiro
- Department of Plastic Surgery, Tokyo Women's Medical College
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- MORIYAMA Toru
- Department of Surgery, Yatsu Insurance Hospital
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- NARUMIYA Kosuke
- Department of Surgery, Yatsu Insurance Hospital
Bibliographic Information
- Other Title
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- 胸骨後胃管再建後の胃管壊死例における遊離空腸再建法の工夫
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Abstract
In esophageal resections, it is generally difficult to perform reconstruction surgery for suture failure due to a wide range of necrosis of the head of gastric tube following retrosternal gastric tube reconstruction, in term of severe surgical stress for the patient. In this paper we present a new device of gastric tube reconstruction for a patient who developed a wide range of necrosis at the head of gastric tube 5 months after radical operation with retrosternal gastric tube reconstruction for esophageal cancer. The patient was a 65-year-old man whose elevated retrosternal gastric tube became a blind extremitas. The new device was to perform partial resection of the sternum at the anterior surface of healthy gastric tube, and then to implant a free jejunum between the cervical esophagus and gastric tube through the anterosternal subcutaneous route to complete reconstruction. It was successful in this case.<br> This operative procedure provides relatively less surgical stress than other procedures, and hence it is considered to be a beneficial surgical device for patients who have developed extended necrosis of a gastric tube resulting in a complete obstruction after retrosternal reconstruction.
Journal
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- Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)
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Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) 67 (10), 2388-2391, 2006
Japan Surgical Association
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Details 詳細情報について
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- CRID
- 1390001204846717440
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- NII Article ID
- 130003604746
- 10018391106
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- NII Book ID
- AA11189709
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- ISSN
- 18825133
- 13452843
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- Text Lang
- ja
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- Data Source
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- JaLC
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed