早期診断し得た食道癌術後静脈血栓塞栓症の2例  [in Japanese] Two cases of acute pulmonary embolism after esophageal cancer operation  [in Japanese]

Access this Article

Author(s)

    • 金澤 卓 KANAZAWA Takashi
    • 岡山大学大学院医歯薬学総合研究科 消化器・腫瘍外科学 Department of Gastroentelogical surgery, Okayama University Graduate School of Medicine, Dentistry and Phamaceutical Sciences
    • 渡辺 信之 WATANABE Nobuyuki
    • 岡山大学大学院医歯薬学総合研究科 消化器・腫瘍外科学 Department of Gastroentelogical surgery, Okayama University Graduate School of Medicine, Dentistry and Phamaceutical Sciences
    • 猶本 良夫 [他] NAOMOTO Yoshio
    • 岡山大学大学院医歯薬学総合研究科 消化器・腫瘍外科学 Department of Gastroentelogical surgery, Okayama University Graduate School of Medicine, Dentistry and Phamaceutical Sciences
    • 小林 正彦 KOBAYASHI Masahiko
    • 岡山大学大学院医歯薬学総合研究科 消化器・腫瘍外科学 Department of Gastroentelogical surgery, Okayama University Graduate School of Medicine, Dentistry and Phamaceutical Sciences
    • 白川 靖博 SHIRAKAWA Yasuhiro
    • 岡山大学大学院医歯薬学総合研究科 消化器・腫瘍外科学 Department of Gastroentelogical surgery, Okayama University Graduate School of Medicine, Dentistry and Phamaceutical Sciences
    • 山辻 知樹 YAMATSUJI Tomoki
    • 岡山大学大学院医歯薬学総合研究科 消化器・腫瘍外科学 Department of Gastroentelogical surgery, Okayama University Graduate School of Medicine, Dentistry and Phamaceutical Sciences
    • 小林 直哉 KOBAYASHI Naoya
    • 岡山大学大学院医歯薬学総合研究科 消化器・腫瘍外科学 Department of Gastroentelogical surgery, Okayama University Graduate School of Medicine, Dentistry and Phamaceutical Sciences
    • 藤原 俊義 FUJIWARA Toshiyoshi
    • 岡山大学大学院医歯薬学総合研究科 消化器・腫瘍外科学 Department of Gastroentelogical surgery, Okayama University Graduate School of Medicine, Dentistry and Phamaceutical Sciences
    • 松原 長秀 MATSUBARA Nagahide
    • 岡山大学大学院医歯薬学総合研究科 消化器・腫瘍外科学 Department of Gastroentelogical surgery, Okayama University Graduate School of Medicine, Dentistry and Phamaceutical Sciences
    • 岩垣 博巳 IWAGAKI Hiromi
    • 岡山大学大学院医歯薬学総合研究科 消化器・腫瘍外科学 Department of Gastroentelogical surgery, Okayama University Graduate School of Medicine, Dentistry and Phamaceutical Sciences
    • 松岡 順治 MATSUOKA Junji
    • 岡山大学大学院医歯薬学総合研究科 消化器・腫瘍外科学 Department of Gastroentelogical surgery, Okayama University Graduate School of Medicine, Dentistry and Phamaceutical Sciences
    • 田中 紀章 TANAKA Noriaki
    • 岡山大学大学院医歯薬学総合研究科 消化器・腫瘍外科学 Department of Gastroentelogical surgery, Okayama University Graduate School of Medicine, Dentistry and Phamaceutical Sciences

Abstract

We encountered two cases of pulmonary embolism (PE)/venous thrombs (DVT) after surgery for esophageal cancer. The first case was a 58-year-old male. He underwent a subtotal esophagectomy and reconstruction using the stomach via the subcutaneus route. His postoperative course was stable; however, 13 days after the operation、 he had an elevated fever and pulmonary thrombi were observed on CT-scan screening. Scintigraphy confirmed the thrombi. An inferior vena cava filter (IVCF) was inserted and anti-coagulation therapy using heparin was started. His fever subsided, and 35 days after the operation, the thrombi disappeared. He was discharged thereafter and is being followed up using warfarin. The second case was a 74-year-old male. He also underwent subtotal esophagectomy and reconstruction using the stomach via the subcutaneus route. A central line was inserted via right femoral vein; however, the artery was injured and pressurization to the vessel was needed. His post-operative course was stable and symptom-free; however, ultrasound screening detected DVT in his right femoral vein. IVCF was mserted and anti-coagulation therapy was begun, thrombi disappeared 8 days after the therapy.

We encountered two cases of pulmonary embolism (PE)/venous thrombs (DVT) after surgery for esophageal cancer. The first case was a 58-year-old male. He underwent a subtotal esophagectomy and reconstruction using the stomach via the subcutaneus route. His postoperative course was stable; however, 13 days after the operation, he had an elevated fever and pulmonary thrombi were observed on CT-scan screening.Scintigraphy confirmed the thrombi. An inferior vena cava filter (IVCF) was inserted and anti-coagulation therapy using heparin was started. His fever subsided, and 35 days after the operation, the thrombi disappeared. He was discharged thereafter and is being followed up using warfarin. The second case was a 74-year-old male. He also underwent subtotal esophagectomy and reconstruction using the stomach via the subcutaneus route. A central line was inserted via right femoral vein; however, the artery was injured and pressurization to the vessel was needed. His post-operative course was stable and symptom-free; however, ultrasound screening detected DVT in his right femoral vein. IVCF was mserted and anti-coagulation therapy was begun, thrombi disappeared 8 days after the therapy.

Journal

  • Okayama Igakkai Zasshi (Journal of Okayama Medical Association)

    Okayama Igakkai Zasshi (Journal of Okayama Medical Association) 118(1), 41-45, 2006-05-01

    Okayama Medical Association

References:  17

Codes

  • NII Article ID (NAID)
    10017417131
  • NII NACSIS-CAT ID (NCID)
    AN00032489
  • Text Lang
    JPN
  • Article Type
    NOT
  • Journal Type
    大学紀要
  • ISSN
    00301558
  • NDL Article ID
    7952964
  • NDL Call No.
    Z19-269
  • Data Source
    CJP  NDL  IR  J-STAGE 
Page Top