Journal of Digestive Cancer Research

  • 제11권2호
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  • Pages.66-76
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  • 2023
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  • 2950-9394(pISSN)
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  • 2950-9505(eISSN)
대한소화기암연구학회 (Korean Society of Gastrointestinal Cancer Research)
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위 수술 전후의 내시경 시술: 재건법에 따른 접근, 수술의 관점

Endoscopy after Gastric Surgery: For Each Reconstruction Method, Operator's Point of View

  • 주일석 (인제대학교 상계백병원 일반외과) ;
  • 조현진 (인제대학교 상계백병원 일반외과) ;
  • 최수인 (인제대학교 상계백병원 내과)
  • Yilseok Joo (Department of General Surgery, Inje University Sanggye Paik Hospital) ;
  • Hyunjin Cho (Department of General Surgery, Inje University Sanggye Paik Hospital) ;
  • Sooin Choi (Department of Internal Medicine, Inje University Sanggye Paik Hospital)
  • 투고 : 2023.07.31
  • 심사 : 2023.08.11
  • 발행 : 2023.08.20
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초록

Endoscopy is an important noninvasive procedure for patients with gastrointestinal problems. However, surgical techniques are shifting to laparoscopic surgery, and changes in endoscopic findings after laparoscopic surgery differ from those after previous surgical methods. Postoperative endoscopic findings differ from normal anatomical structures, and findings reportedly vary depending on the type of surgical technique. Therefore, we aimed to summarize the surgical and endoscopic findings for each surgical method from the surgeon's point of view. The causes of gastric emptying delay, bleeding, afferent loop syndrome, or anastomosis leakage occurring after gastric cancer surgery can be identified via upper gastrointestinal endoscopy that is relatively less invasive than the surgical method. Regarding postoperative anastomosis leakage, endoscopy can directly evaluate the degree of leakage at the anastomosis site more accurately than computed tomography and enable immediate intervention. As endoscopy is less invasive than the surgical method, patients can be evaluated and treated more safely. However, coordination between the surgeon and the endoscopist is necessary to perform the procedures effectively. Therefore, reviewing the changes in surgical and endoscopic findings is important.

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참고문헌

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