J Korean Med Sci.  2003 Jun;18(3):437-440. 10.3346/jkms.2003.18.3.437.

Leakage of Jejunal End of Roux Limb after Total Gastrectomy: Management with a Placement of a Covered Metallic Stent: Case Report

• Cho YP
• Lee DH
• Jang HJ
• Kim JS
• Kim YH
• Han MS
• Lee SG

• KMID: 2157665
• DOI: http://doi.org/10.3346/jkms.2003.18.3.437

Abstract

Postoperative leakage is a serious complication in patients after gastric surgery. It can lead to a rapid deterioration in the patient's condition and quality of life. Treatment is guided by the type of anastomosis and the patient's clinical status. The role of interventional radiology in gastrointestinal tract is evolving. Metallic stent placement has shown encouraging results for the palliation of gastrointestinal tract obstruction and fistula in malignant patients. We encountered a case of the leakage of jejunal end of Roux limb after total gastrectomy. This patient required a drainage procedure with long-term parenteral nutrition. We performed peroral placement of a covered metallic stent to avoid surgery and long-term parenteral nutrition, and he resumed adequate oral intake immediately after stent placement. This minimally invasive procedure is very promising for the treatment of a gastrointestinal fistula to avoid surgery and long-term parenteral nutritional support in selected cases.

Keyword

Stents; Postoperative Complications; Gastrectomy

MeSH Terms

Aged
Anastomosis, Roux-en-Y/*adverse effects
Drainage
Fistula/etiology/surgery
Gastrectomy/*adverse effects
Human
Jejunal Diseases/*etiology/radiography/surgery
Jejunum/radiography/*surgery
Male
Postoperative Complications
*Stents