Clinical Endoscopy

The Korean Society of Gastrointestinal Endoscopy (대한소화기내시경학회)
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Ischemic Necrosis of the Gastric Remnant without Splenic Infarction Following Subtotal Gastrectomy

  • Park, Hwan Hee (Division of Gastroenterology, Department of Internal Medicine, Chungnam National University School of Medicine) ;
  • Lee, Hee Sung (Division of Gastroenterology, Department of Internal Medicine, Chungnam National University School of Medicine) ;
  • Kim, Ju Seok (Division of Gastroenterology, Department of Internal Medicine, Chungnam National University School of Medicine) ;
  • Kang, Sun Hyung (Division of Gastroenterology, Department of Internal Medicine, Chungnam National University School of Medicine) ;
  • Moon, Hee Seok (Division of Gastroenterology, Department of Internal Medicine, Chungnam National University School of Medicine) ;
  • Sung, Jae Kyu (Division of Gastroenterology, Department of Internal Medicine, Chungnam National University School of Medicine) ;
  • Jeong, Hyun Yong (Division of Gastroenterology, Department of Internal Medicine, Chungnam National University School of Medicine) ;
  • Sul, Ji Young (Department of Surgery, Chungnam National University School of Medicine)
  • Received : 2017.06.15
  • Accepted : 2017.07.10
  • Published : 2018.05.30
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Abstract

Gastric remnant necrosis after a subtotal gastrectomy is an extremely uncommon complication due to the rich vascular supply of the stomach. Despite its rareness, it must be carefully addressed considering the significant mortality rate associated with this condition. Patients vulnerable to ischemic vascular disease in particular need closer attention and should be treated more cautiously. When gastric remnant necrosis is suspected, an urgent endoscopic examination must be performed. We report a case of gastric remnant necrosis following a subtotal gastrectomy and discuss possible risk factors associated with this complication.

Keywords

References

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