闭合性肠环梗阻——一种罕见且被遗忘的空肠造口术并发症:病例报告。

S Balamurugan, Aslam Mohammed M, D Kadambari, Rajkumar Nagarajan
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引用次数: 0

摘要

喂养空肠造口术(FJ)是为无法耐受肠内喂养的患者进行的重要上消化道手术的一部分。这种手术与不同的机械、感染和代谢不便有关。然而,FJ后的闭合性肠环梗阻是罕见的。我们报告了一名67岁男性患者在FJ治疗局部晚期胃食管癌(GE)交界处肠内通路术后出现的不寻常的闭合性肠环梗阻并发症。该患者需要进行紧急剖腹手术,以防止腹胀加剧,腹胀可能导致胃缺血和梗阻后穿孔。再次进行FJ,患者术后恢复顺利。因此,外科医生应高度怀疑FJ后出现上腹部疼痛和腹胀而无呕吐的罕见并发症,如闭环梗阻。如何引用这篇文章:Balamurugan S,Aslam MM,Kadambari D等。闭环肠梗阻是空肠造口术中一种不寻常且被遗忘的并发症:病例报告。欧亚国际肝病杂志2022;12(2):92-94。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Closed-bowel Loop Obstruction-An Unusual and Forgotten Complication of Feeding Jejunostomy: Case Report.

Closed-bowel Loop Obstruction-An Unusual and Forgotten Complication of Feeding Jejunostomy: Case Report.

Closed-bowel Loop Obstruction-An Unusual and Forgotten Complication of Feeding Jejunostomy: Case Report.

Closed-bowel Loop Obstruction-An Unusual and Forgotten Complication of Feeding Jejunostomy: Case Report.

Feeding jejunostomy (FJ) is done as a part of significant upper gastrointestinal surgical procedures for patients who cannot tolerate enteral feeds. This procedure is related to different mechanical, infective, and metabolic inconveniences. However, closed-bowel loop obstruction following FJ is rare. We report an unusual complication of closed-bowel loop obstruction in the postoperative period of FJ done for a locally advanced carcinoma of gastroesophageal (GE) junction for enteral access in a 67-year-old male patient. This patient required an emergency laparotomy, to forestall exacerbating of abdomen distension which could have led to gastric ischemia and perforation following obstruction. A redo FJ was done, and the patient had an uneventful postoperative recovery. Therefore, surgeons should have high clinical suspicion for a rarer complication like a closed-loop obstruction in a patient with upper abdominal pain and distension without vomiting following FJ.

How to cite this article: Balamurugan S, Aslam MM, Kadambari D, et al. Closed-bowel Loop Obstruction-An Unusual and Forgotten Complication of Feeding Jejunostomy: Case Report. Euroasian J Hepato-Gastroenterol 2022;12(2):92-94.

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