title: [A Case Report of Reoperation for Intractable Obstruction of the Stomach after Surgery for Esophageal Cancer].
abstract: Although esophageal reconstruction using the stomach is common in surgery for esophageal cancer, this procedure sometimes results in delayed gastric emptying and reflux. This is a case report of reoperation for intractable obstruction of the stomach after initial esophageal surgery in a 59-year-old man. The obstruction was resistant to conservative management. We resected the duodenum, preserving the vascular pedicle of the right gastroepiploic vessels, and performed reconstruction with a Roux-en-Y procedure in the second operation. There was marked improvement in gastric emptying.
authors.affiliation: Dept. of Surgery, Nara City Hospital.
authors.forename: Satoko
authors.initials: S
authors.lastname: Tomita
authors.forename: Tomoyuki
authors.initials: T
authors.lastname: Nagata
authors.forename: Satoshi
authors.initials: S
authors.lastname: Mochiduki
authors.forename: Yuen
authors.initials: Y
authors.lastname: Nakase
authors.forename: Mitsuhiro
authors.initials: M
authors.lastname: Fujino
authors.forename: Shozo
authors.initials: S
authors.lastname: Kitai
authors.forename: Seishirou
authors.initials: S
authors.lastname: Inaba
mesh_terms: D004938:Esophageal Neoplasms / Q000601:surgery*; D017219:Gastric Outlet Obstruction / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000601:surgery*; D012086:Reoperation; D016896:Treatment Outcome