[Analysis of 15 cases with necrotic perforation and large area necrotic leakage of the gastric wall after operation of esophageal and cardial cancer].
From September 1964 to December 1971 and from January 1986 to December 1991, 15 cases were diagnosed as necrotic perforation and large area necrotic leakage of the gastric wall by iodipin roentgenography, barium meal examination and second operation. It is thought that the pathologic type of anastomotic leakage, the leakage of the anastomotic stoma region, and esophageal and gastric perforation caused by suture cuttings are virtually different from that of necrotic perforation and large area necrotic leakage of the gastric wall, and should be treated differently. The pathogenesis and clinical manifestation of the later two entities are discussed. In our opinion, the maintenance of good circulation of the right gastric and gastroepiploic arteries and veins, careful protection of the stomach wall, and avoiding great tension when the stomach is lifted are of vital importance to prevent the necrosis of gastric wall. In the case of necrotic perforation or large area necrotic leakage of the gastric wall, the early diagnosis is important and early operation is suggested.
Cheng
C S
CS
Linxian County People's Hospital, Linxian Henan.
D000328:Adult; D000714:Anastomosis, Surgical / Q000009:adverse effects; D002299:Cardia; D004938:Esophageal Neoplasms / Q000601:surgery*; D005260:Female; D005747:Gastric Fistula / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D009336:Necrosis; D011183:Postoperative Complications / Q000601:surgery*; D012086:Reoperation; D012422:Rupture, Spontaneous; D013270:Stomach / Q000473:pathology*; D013274:Stomach Neoplasms / Q000601:surgery*