Impact of truncal vagotomy on complicated peptic ulcer after distal gastrectomy with reconstruction by jejunal pouch interposition
Abstract Background We encountered a case of marginal ulcer in the jejunum after distal gastrectomy with jejunal pouch interposition. However, it has not been reported and not confirmed the treatment. We chose truncal vagotomy, considering reduced morbidity and postoperative complications. Case pres...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Japan Surgical Society
2020-06-01
|
| Series: | Surgical Case Reports |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s40792-020-00879-w |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849251499916394496 |
|---|---|
| author | Reika Yamashita Naoto Takahashi Kazuto Tsuboi Norio Mitsumori Hideyuki Kashiwagi Katsuhiko Yanaga |
| author_facet | Reika Yamashita Naoto Takahashi Kazuto Tsuboi Norio Mitsumori Hideyuki Kashiwagi Katsuhiko Yanaga |
| author_sort | Reika Yamashita |
| collection | DOAJ |
| description | Abstract Background We encountered a case of marginal ulcer in the jejunum after distal gastrectomy with jejunal pouch interposition. However, it has not been reported and not confirmed the treatment. We chose truncal vagotomy, considering reduced morbidity and postoperative complications. Case presentation A case was a 69-year-old woman who was admitted to our hospital with melena. She had received curative distal gastrectomy with a 15-cm jejunal pouch reconstruction for early gastric cancer. Marginal ulcer in the jejunal pouch was detected by upper gastrointestinal endoscopy. She was given medication; however, she repeated hospitalization for melena and abdominal pain. Therefore, we decided to perform surgery, and truncal vagotomy was performed. The patient’s postoperative course was uneventful and was discharged on the 22nd postoperative day. Symptoms such as abdominal pain and melena were improved after truncal vagotomy. Conclusion We presented a case with a complicated peptic ulcer after distal gastrectomy with reconstruction by jejunal pouch interposition, which was successfully treated by truncal vagotomy, a surgical acid-reducing procedure which does not require resection of remnant stomach. |
| format | Article |
| id | doaj-art-77e958e20eed4e5fb495275c1a3fd7ec |
| institution | Kabale University |
| issn | 2198-7793 |
| language | English |
| publishDate | 2020-06-01 |
| publisher | Japan Surgical Society |
| record_format | Article |
| series | Surgical Case Reports |
| spelling | doaj-art-77e958e20eed4e5fb495275c1a3fd7ec2025-08-20T03:56:55ZengJapan Surgical SocietySurgical Case Reports2198-77932020-06-01611410.1186/s40792-020-00879-wImpact of truncal vagotomy on complicated peptic ulcer after distal gastrectomy with reconstruction by jejunal pouch interpositionReika Yamashita0Naoto Takahashi1Kazuto Tsuboi2Norio Mitsumori3Hideyuki Kashiwagi4Katsuhiko Yanaga5Department of Surgery, The Jikei University Kashiwa HospitalDepartment of Surgery, The Jikei University Kashiwa HospitalDepartment of Surgery, The Jikei University Kashiwa HospitalDepartment of Surgery, The Jikei University School of MedicineDepartment of Surgery, Fuji City General HospitalDepartment of Surgery, The Jikei University School of MedicineAbstract Background We encountered a case of marginal ulcer in the jejunum after distal gastrectomy with jejunal pouch interposition. However, it has not been reported and not confirmed the treatment. We chose truncal vagotomy, considering reduced morbidity and postoperative complications. Case presentation A case was a 69-year-old woman who was admitted to our hospital with melena. She had received curative distal gastrectomy with a 15-cm jejunal pouch reconstruction for early gastric cancer. Marginal ulcer in the jejunal pouch was detected by upper gastrointestinal endoscopy. She was given medication; however, she repeated hospitalization for melena and abdominal pain. Therefore, we decided to perform surgery, and truncal vagotomy was performed. The patient’s postoperative course was uneventful and was discharged on the 22nd postoperative day. Symptoms such as abdominal pain and melena were improved after truncal vagotomy. Conclusion We presented a case with a complicated peptic ulcer after distal gastrectomy with reconstruction by jejunal pouch interposition, which was successfully treated by truncal vagotomy, a surgical acid-reducing procedure which does not require resection of remnant stomach.http://link.springer.com/article/10.1186/s40792-020-00879-wTruncal vagotomyPeptic ulcerPouch interpositionDistal gastrectomyJejunal pouch |
| spellingShingle | Reika Yamashita Naoto Takahashi Kazuto Tsuboi Norio Mitsumori Hideyuki Kashiwagi Katsuhiko Yanaga Impact of truncal vagotomy on complicated peptic ulcer after distal gastrectomy with reconstruction by jejunal pouch interposition Surgical Case Reports Truncal vagotomy Peptic ulcer Pouch interposition Distal gastrectomy Jejunal pouch |
| title | Impact of truncal vagotomy on complicated peptic ulcer after distal gastrectomy with reconstruction by jejunal pouch interposition |
| title_full | Impact of truncal vagotomy on complicated peptic ulcer after distal gastrectomy with reconstruction by jejunal pouch interposition |
| title_fullStr | Impact of truncal vagotomy on complicated peptic ulcer after distal gastrectomy with reconstruction by jejunal pouch interposition |
| title_full_unstemmed | Impact of truncal vagotomy on complicated peptic ulcer after distal gastrectomy with reconstruction by jejunal pouch interposition |
| title_short | Impact of truncal vagotomy on complicated peptic ulcer after distal gastrectomy with reconstruction by jejunal pouch interposition |
| title_sort | impact of truncal vagotomy on complicated peptic ulcer after distal gastrectomy with reconstruction by jejunal pouch interposition |
| topic | Truncal vagotomy Peptic ulcer Pouch interposition Distal gastrectomy Jejunal pouch |
| url | http://link.springer.com/article/10.1186/s40792-020-00879-w |
| work_keys_str_mv | AT reikayamashita impactoftruncalvagotomyoncomplicatedpepticulcerafterdistalgastrectomywithreconstructionbyjejunalpouchinterposition AT naototakahashi impactoftruncalvagotomyoncomplicatedpepticulcerafterdistalgastrectomywithreconstructionbyjejunalpouchinterposition AT kazutotsuboi impactoftruncalvagotomyoncomplicatedpepticulcerafterdistalgastrectomywithreconstructionbyjejunalpouchinterposition AT noriomitsumori impactoftruncalvagotomyoncomplicatedpepticulcerafterdistalgastrectomywithreconstructionbyjejunalpouchinterposition AT hideyukikashiwagi impactoftruncalvagotomyoncomplicatedpepticulcerafterdistalgastrectomywithreconstructionbyjejunalpouchinterposition AT katsuhikoyanaga impactoftruncalvagotomyoncomplicatedpepticulcerafterdistalgastrectomywithreconstructionbyjejunalpouchinterposition |