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01-06-2014

Characteristics of internal hernia after gastrectomy with Roux-en-Y reconstruction for gastric cancer

Authors: Kozo Yoshikawa, Mitsuo Shimada, Nobuhiro Kurita, Hirohiko Sato, Takashi Iwata, Jun Higashijima, Motoya Chikakiyo, Masaaki Nishi, Hideya Kashihara, Chie Takasu, Noriko Matsumoto, Syohei Eto

Published in: Surgical Endoscopy | Issue 6/2014

Abstract

Background

Although the internal hernias have been a huge topic in the field of bariatric surgery, there were a few reports in gastric cancer. The purpose of this study was to analyze the incidence, clinical features, and prevention of internal hernia after gastrectomy for gastric cancer.

Methods

Twelve patients who underwent surgical treatment for internal hernia in our hospital after gastrectomy were analyzed. Features, including incidence, symptoms, and signs, were investigated in detail.

Results

The operative procedures for preceding gastrectomies were open distal gastrectomy in three patients, open total gastrectomy in three patients, laparoscopic-assisted distal gastrectomy in two patients, and laparoscopic total gastrectomy in four patients. The most frequent sites of internal hernias were jejunojejunostomy mesenteric defects (five patients) and Petersen’s defect (five patients), mesenterium of transverse colon (one patient), and esophagus hiatus (one patient). There was no significant difference between open and laparoscopic preceding gastrectomies. After closure of the mesenteric defect was introduced, no further internal hernias occurred. On CT examination, the whirl sign was present in ten patients on 3D images.

Conclusions

The present data suggest the importance of early recognition and treatment of internal hernia, as well as its prevention by closure of mesenteric defects.

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Title: Characteristics of internal hernia after gastrectomy with Roux-en-Y reconstruction for gastric cancer
Authors: Kozo Yoshikawa
Mitsuo Shimada
Nobuhiro Kurita
Hirohiko Sato
Takashi Iwata
Jun Higashijima
Motoya Chikakiyo
Masaaki Nishi
Hideya Kashihara
Chie Takasu
Noriko Matsumoto
Syohei Eto
Publication date: 01-06-2014
Publisher: Springer US
Published in: Surgical Endoscopy / Issue 6/2014
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI: https://doi.org/10.1007/s00464-013-3384-7

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Characteristics of internal hernia after gastrectomy with Roux-en-Y reconstruction for gastric cancer

Abstract

Background

Methods

Results

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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