Clinical Endoscopy (May 2018)

Ischemic Necrosis of the Gastric Remnant without Splenic Infarction Following Subtotal Gastrectomy

  • Hwan Hee Park,
  • Hee Sung Lee,
  • Ju Seok Kim,
  • Sun Hyung Kang,
  • Hee Seok Moon,
  • Jae Kyu Sung,
  • Hyun Yong Jeong,
  • Ji Young Sul

DOI
https://doi.org/10.5946/ce.2017.099
Journal volume & issue
Vol. 51, no. 3
pp. 289 – 293

Abstract

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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.

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