[Detection of insufficiencies of enteroenteral anastomoses following gastrectomies by studies with water soluble contrast media--time and study quality].
We examined, out of a total of 539 gastrectomies, 50 suture insufficiencies in respect of localisation and size, period elapsed since surgery, and duration of manifestation. The quality of the examination was assessed and compared with the diagnostic information supplied. Only 70% of the insufficiencies were detected within the first five days. A leak can occur as late as one month after surgery (maximum period). One-quarter of the insufficiencies were detected during repeat examinations. Hence, the indication for further follow-up checks should be liberal if there is any clinical suspicion. Insufficiencies of oesophagojejunal anastomosis predominate (37). These are followed by the insufficiencies of the blind closed jejunum loop. There is no noticeable influence of the quality of examination (within the range of variation at our institute) on the diagnosis of the insufficiency.
D000328:Adult; D000368:Aged; D003974:Diatrizoate Meglumine; D004947:Esophagus / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D005743:Gastrectomy; D006801:Humans; D007583:Jejunum / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011859:Radiography; D013529:Surgical Wound Dehiscence / Q000000981:diagnostic imaging*
D003974:Diatrizoate Meglumine
Nachweis von Insuffizienzen enteroenteraler Anastomosen nach Gastrektomien durch Untersuchungen mit wasserlöslichen Konstrastmitteln--Zeitpunkt und Untersuchungsqualität.