胃切除術後に留置された経鼻胃管による残胃穿孔の１例

• 甲斐沼 尚

  りんくう総合医療センター市立泉佐野病院外科

• 三方 彰喜

  りんくう総合医療センター市立泉佐野病院外科

• 位藤 俊一

  りんくう総合医療センター市立泉佐野病院外科

• 水島 恒和

  りんくう総合医療センター市立泉佐野病院外科

• 野中 健太郎

  りんくう総合医療センター市立泉佐野病院外科

• 岩瀬 和裕

  りんくう総合医療センター市立泉佐野病院外科

書誌事項

タイトル別名

• A CASE OF RESIDUAL GASTRIC PERFORATION DUE TO A NASOGASTRIC TUBE FOLLOWING GASTRECTOMY

抄録

A 63-year-old man underwent distal gastrectomy with Billroth I reconstruction for type 3 gastric carcinoma localized at the body of the stomach. A nasogastric tube was inserted into the residual stomach. He developed a fever since the 2nd postoperative day, and laboratory data were compatible with inflammatory disorders. Abdominal CT scans showed a small quantity of fluid which was considered to be caused by operative procedures. On the 5th postoperative day, purulent discharge through the intraabdominal drainage tube was recognized. Fluoroscopic examination using contrast media revealed penetration of the nasogastric tube through gastric wall and the extragastric discharge of the media at the greater curvature. Conservative treatment including total parenteral nutrition and antibiotics was performed because the intraabdominal drainage was assured by the drainage tube. Oral intake was started on the 34th postoperative day. The patient was discharged without other complications on the 44th postoperative day.

収録刊行物

• 日本臨床外科学会雑誌

  日本臨床外科学会雑誌 66 (1), 69-72, 2005

  日本臨床外科学会

キーワード

• 経鼻胃管
• 穿孔
• 胃切除術後

詳細情報

• CRID: 1390282679826297216
• NII論文ID: 130003604267
• NII論文ID: 10014391530
• NII書誌ID: AA11189709
• DOI: 10.3919/jjsa.66.69
• ISSN: 18825133
• ISSN: 13452843
• Web Site: http://www.jstage.jst.go.jp/article/ringe1998/66/1/66_1_69/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2005061297
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • Crossref
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可