Anastomoz Arkası Fıtıkları — İki Vak’a İlişkisi ile
Abstract
After antecolic or retrocolic Billroth II surgery, a potential gap behind the anastomosis may lead to internal hernia development. This study presents two cases of retroanastomotic hernia observed years after surgery. In both patients, the afferent loop caused obstruction by passing through the unclosed hiatus. Various anatomical and physiological mechanisms contributing to hernia formation are reviewed from the literature. The article emphasizes the importance of closing the gap between anastomosis and colon, and keeping the afferent loop short, to prevent such complications.
Keywords
internal hernia, retroanastomotic hernia, gastrojejunostomy, afferent loop, intestinal obstruction
References
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