Abstract
Antekolik veya retrokolik Billroth II tipi mide ameliyatlarından sonra anastomoz arkasında kalan boşluk iç fıtıklara sebep olabilir. Bu çalışmada, ameliyattan birkaç yıl sonra iç fıtık gelişen iki olgu sunulmuştur. Her iki vak’ada da afferent ans, kapanmamış aralıktan geçerek obstrüksiyona neden olmuştur. Fıtık oluşumuna zemin hazırlayan anatomik ve fizyolojik mekanizmalar literatürden derlenmiştir. Komplikasyonların önlenmesi için afferent ansın kısa tutulması ve kolon ile anastomoz arasındaki boşluğun kapatılması gerektiği vurgulanmıştır.
References
- ARTZ, HARDY, J.: Internal Herniation of the Jejunal Loop. In: Complications in Surgery and Their Management. Saunders Co., London, 1967.
- BASTABLE, J., HUDDY, P. E.: Anastomotic Hernia (“Petersen’s Hernia”): Eight Cases of Internal Hernia Following Gastrojejunal Anastomosis, with a Review of the Literature. British J. Surg., 17:373, 1955.
- JONES, A., GUMMER, J. W. P., LENNARD, J. E.: Clinical Gastroenterology. Blackwell Scientific Publications, Oxford, 1968.
- MAINGOT, R.: Abdominal Operations. D. Appleton-Cuntery Co., U.S.A., 1969.
- WEST, J.: Obstruction of Proximal Jejunum Following Gastric Resection and Antecolic Anastomosis. Surgery, 34:98, 1953.
- WOODWARD, E. R.: The Pathophysiology of Afferent Loop Syndrome. Surgical Clinics of North America, 46:411, 1966.
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
- ARTZ, HARDY, J.: Internal Herniation of the Jejunal Loop. In: Complications in Surgery and Their Management. Saunders Co., London, 1967.
- BASTABLE, J., HUDDY, P. E.: Anastomotic Hernia (“Petersen’s Hernia”): Eight Cases of Internal Hernia Following Gastrojejunal Anastomosis, with a Review of the Literature. British J. Surg., 17:373, 1955.
- JONES, A., GUMMER, J. W. P., LENNARD, J. E.: Clinical Gastroenterology. Blackwell Scientific Publications, Oxford, 1968.
- MAINGOT, R.: Abdominal Operations. D. Appleton-Cuntery Co., U.S.A., 1969.
- WEST, J.: Obstruction of Proximal Jejunum Following Gastric Resection and Antecolic Anastomosis. Surgery, 34:98, 1953.
- WOODWARD, E. R.: The Pathophysiology of Afferent Loop Syndrome. Surgical Clinics of North America, 46:411, 1966.
Details
| Primary Language | English |
|---|---|
| Subjects | General Surgery |
| Journal Section | Case Report |
| Authors | |
| Publication Date | June 30, 1970 |
| Published in Issue | Year 1970 Volume: 23 Issue: 3 |