胸部食道癌,大腸癌・同肝転移巣の1期的切除後に発症した狭窄型虚血性小腸炎の1治験例

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  • A Case of Constrictive Ischemic Inflammation of the Small Intestine after One Stage Resection of Thoracic Esophageal Cancer and Colon Cancer with Liver Metastasis

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A 62-year-old man underwent thoraco-abdominal esophagectomy for esophageal cancer, and sigmoidec-tomy and lateral segmentectomy of the liver for sigmoid colon cancer. In spite of a good postoperative course for the first 28 days postoperation, he complained of abdominal pain due to an intestinal obstruction. However, as conservative therapy showed no remission, a reoperation was performed 37 days after the first operation. About one meter of the ileum was resected including four narrow segments of the ischemic intestine. Histopa-thological finding showed a constrictive ischemic inflammation of the small intestine. Even in the state of anti-coagulant therapy for esophagectomized patients, constrictive ischemic inflammation of the small intestine is observed rarely, so early diagnosis and surgery may be necessary for such patients with severe surgical stress

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