空腸瘻チューブ抜去の6ヵ月後,チューブ留置部に遅発性穿孔をきたした1例
要旨:症例は75歳男性。2011年11月膵癌に対し,膵頭十二指腸切除術ならびに空腸瘻造設術を施行した。術後経過は良好で術後22日目に空腸瘻チューブを抜去,術後34日目に退院した。以後外来にて経過観察中,2012年6月腹痛を主訴に当院受診した。腹部CT検査では肝表面に腹水の貯留およびfree airを認め,消化管穿孔の診断のもと,緊急手術を行った。手術所見では空腸瘻の腹壁固定部が裂け,遅発性空腸瘻穿孔と診断,穿孔部を含めて空腸を切除し,機能的端々吻合を施行した。患者は術後7日目にイレウスを呈したものの保存的に軽快し,術後30日に退院した。...
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Published in | 日本腹部救急医学会雑誌 Vol. 33; no. 6; pp. 1013 - 1017 |
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Main Authors | , , , , , , , , , |
Format | Journal Article |
Language | Japanese |
Published |
日本腹部救急医学会
2013
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Subjects | |
Online Access | Get full text |
ISSN | 1340-2242 1882-4781 |
DOI | 10.11231/jaem.33.1013 |
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Abstract | 要旨:症例は75歳男性。2011年11月膵癌に対し,膵頭十二指腸切除術ならびに空腸瘻造設術を施行した。術後経過は良好で術後22日目に空腸瘻チューブを抜去,術後34日目に退院した。以後外来にて経過観察中,2012年6月腹痛を主訴に当院受診した。腹部CT検査では肝表面に腹水の貯留およびfree airを認め,消化管穿孔の診断のもと,緊急手術を行った。手術所見では空腸瘻の腹壁固定部が裂け,遅発性空腸瘻穿孔と診断,穿孔部を含めて空腸を切除し,機能的端々吻合を施行した。患者は術後7日目にイレウスを呈したものの保存的に軽快し,術後30日に退院した。 |
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AbstractList | 要旨:症例は75歳男性。2011年11月膵癌に対し,膵頭十二指腸切除術ならびに空腸瘻造設術を施行した。術後経過は良好で術後22日目に空腸瘻チューブを抜去,術後34日目に退院した。以後外来にて経過観察中,2012年6月腹痛を主訴に当院受診した。腹部CT検査では肝表面に腹水の貯留およびfree airを認め,消化管穿孔の診断のもと,緊急手術を行った。手術所見では空腸瘻の腹壁固定部が裂け,遅発性空腸瘻穿孔と診断,穿孔部を含めて空腸を切除し,機能的端々吻合を施行した。患者は術後7日目にイレウスを呈したものの保存的に軽快し,術後30日に退院した。 |
Author | 安, 炳九 永吉, 直樹 實光, 章 横山, 正 高原, 秀典 原, 重雄 末次, 弘実 田渕, 幹康 杉山, 朋大 神澤, 真紀 |
Author_xml | – sequence: 1 fullname: 末次, 弘実 organization: 赤穂市民病院乳腺外科 – sequence: 1 fullname: 永吉, 直樹 organization: 赤穂市民病院外科 – sequence: 1 fullname: 田渕, 幹康 organization: 赤穂市民病院外科 – sequence: 1 fullname: 杉山, 朋大 organization: 赤穂市民病院外科 – sequence: 1 fullname: 安, 炳九 organization: 赤穂市民病院外科 – sequence: 1 fullname: 横山, 正 organization: 赤穂市民病院外科 – sequence: 1 fullname: 高原, 秀典 organization: 赤穂市民病院外科 – sequence: 1 fullname: 實光, 章 organization: 赤穂市民病院外科 – sequence: 1 fullname: 原, 重雄 organization: 神戸大学医学部付属病院病理診断科 – sequence: 1 fullname: 神澤, 真紀 organization: 神戸大学医学部付属病院病理診断科 |
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References | 3) Braga M, Gianotti L, Gentilini O, et al: Early postoperative enteral nutrition improves gut oxygenation and reduces costs compared with total parenteral nutrition. Crit Care Med 2001; 29: 242-248. 4) Sarr MG: Appropriate use, complications and advantages demonstrated in 500 consecutive needle catheter jejunostomies. Br J Surg 1999; 86: 557-561. 1) Peter JV, Moran JL, Phillips-Hughes J: A metaanalysis of treatment outcomes of early enteral versus early parenteral nutrition in hospitalized patients. Crit Care Med 2005; 33: 213-220. 8) Wetz CR, Morrris JB, Mullen JL:Surgical jejunostomy in aspiration risk patients. Ann Surg 1992; 215: 140-145. 11) 藤井正一, 山岸 茂, 渡辺一輝, ほか: 【手術器具の使い方 基本と応用】 開腹手術用機器 17. 癒着防止フィルム. 手術 2010; 64: 801-806. 2) Gabor S, Renner H, Matzi V, et al: Early enteral feeding compared with parenteral nutrition after oesophageal or oesophagogastric resection and reconstruction. Br J Nutr 2005; 93: 509-513. 6) 碓井貞仁: 経腸栄養の基礎. 消外 1992; 15: 559-564. 7) Di Carlo V, Gianotti L, Balzano G, et al: Complications of pancreatic surgery and the role of perioperative nutrition. Dig Surg 1999; 16: 320-326. 9) Adams MB, Seabrook GR, Quebbeman EA, et al: Jejunostomy. A rarely indicated procedure. Arch Surg 1986; 121: 236-238. 12) Beck DE, Cohen Z, Fleshman JW, et al: A prospective, randomized, multicenter, controlled study of the safety of Seprafilm adhesion barrier in abdominopelvic surgery of the intestine. Dis Colon Rectum 2003; 46: 1310-1319. 5) Myers JG, Page CP, Stewart RM, et al: Complications of needle catheter jejunostomy in 2022 consecutive applications. Am J Surg 1995; 170: 547-550. 10) Adams S, Dellinger EP, Wertz MJ, et al: Enteral versus parenteral nutritional support following laparotomy for trauma: a randomized prospective trial. J Trauma 1986; 26: 882-891. |
References_xml | – reference: 4) Sarr MG: Appropriate use, complications and advantages demonstrated in 500 consecutive needle catheter jejunostomies. Br J Surg 1999; 86: 557-561. – reference: 2) Gabor S, Renner H, Matzi V, et al: Early enteral feeding compared with parenteral nutrition after oesophageal or oesophagogastric resection and reconstruction. Br J Nutr 2005; 93: 509-513. – reference: 5) Myers JG, Page CP, Stewart RM, et al: Complications of needle catheter jejunostomy in 2022 consecutive applications. Am J Surg 1995; 170: 547-550. – reference: 6) 碓井貞仁: 経腸栄養の基礎. 消外 1992; 15: 559-564. – reference: 9) Adams MB, Seabrook GR, Quebbeman EA, et al: Jejunostomy. A rarely indicated procedure. Arch Surg 1986; 121: 236-238. – reference: 1) Peter JV, Moran JL, Phillips-Hughes J: A metaanalysis of treatment outcomes of early enteral versus early parenteral nutrition in hospitalized patients. Crit Care Med 2005; 33: 213-220. – reference: 7) Di Carlo V, Gianotti L, Balzano G, et al: Complications of pancreatic surgery and the role of perioperative nutrition. Dig Surg 1999; 16: 320-326. – reference: 11) 藤井正一, 山岸 茂, 渡辺一輝, ほか: 【手術器具の使い方 基本と応用】 開腹手術用機器 17. 癒着防止フィルム. 手術 2010; 64: 801-806. – reference: 12) Beck DE, Cohen Z, Fleshman JW, et al: A prospective, randomized, multicenter, controlled study of the safety of Seprafilm adhesion barrier in abdominopelvic surgery of the intestine. Dis Colon Rectum 2003; 46: 1310-1319. – reference: 8) Wetz CR, Morrris JB, Mullen JL:Surgical jejunostomy in aspiration risk patients. Ann Surg 1992; 215: 140-145. – reference: 10) Adams S, Dellinger EP, Wertz MJ, et al: Enteral versus parenteral nutritional support following laparotomy for trauma: a randomized prospective trial. J Trauma 1986; 26: 882-891. – reference: 3) Braga M, Gianotti L, Gentilini O, et al: Early postoperative enteral nutrition improves gut oxygenation and reduces costs compared with total parenteral nutrition. Crit Care Med 2001; 29: 242-248. |
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Snippet | 要旨:症例は75歳男性。2011年11月膵癌に対し,膵頭十二指腸切除術ならびに空腸瘻造設術を施行した。術後経過は良好で術後22日目に空腸瘻チューブを抜去,術後34日目に退... |
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SubjectTerms | 空腸瘻 膵頭十二指腸切除術後 遅発性穿孔 |
Title | 空腸瘻チューブ抜去の6ヵ月後,チューブ留置部に遅発性穿孔をきたした1例 |
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