Case Studies of Postoperative Complications after Digestive by Surya S. A. Y. Biere M.D. (auth.), Miguel A. Cuesta, H. Jaap

By Surya S. A. Y. Biere M.D. (auth.), Miguel A. Cuesta, H. Jaap Bonjer (eds.)

The thought for this booklet is to supply a scientific description of the main widespread problems happening within the 3 components of the digestive tract: HPB, higher GI and colorectal tracts. each hassle, from esophageal to the rectum, is defined systematically via or 3 useful situations as has been handled by way of genuine surgical practices of authors serving as health care professional practitioners. Description of the case, presentation of indication for surgical procedure, kind of fundamental surgical intervention and hardship is defined textually but additionally and by way of medical symptoms, laboratory exams, radiological stories (CT scans and schematic drawings) and different tools used for prognosis and remedy.

The reader could have entry to a realistic e-book during which each present problem may be simply well-known, besides correct details as advisor for an sufficient treatment.

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Extra info for Case Studies of Postoperative Complications after Digestive Surgery

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1). Five dilatations with Savary dilatators up to 20 mm were needed to successfully treat the stenosis. After the last dilatation, the patient could swallow normally and regained weight. No more dilatations were needed. Discussion The major reason for midterm morbidity after esophagectomy with esophagogastric anastomosis is the development of benign anastomotic strictures [1]. An incidence of 48 % for hand sewn anastomoses and 35 % for semi-mechanical anastomoses in the neck is described [2]. It is important to distinguish two types of anastomotic strictures: the early strictures responding to few dilatations without restenosis and the so-called refractory stenosis, where over ten dilatations are needed on a frequent basis to treat and to avoid restenosis.

After this dilatation, she could increase her oral intake and was subsequently discharged with combined feeding (oral and by jejunostomy). The jejenunostomy could be retired 4 weeks later because of optimal oral intake. Yet, 6 months later, she was suffering from progressive dysphagia and lost 3 kg of her weight. Swallow X-ray showed a relative stenosis at the site of anastomosis of the esophagus, treated by endoscopic dilatation (Fig. 1). Five dilatations with Savary dilatators up to 20 mm were needed to successfully treat the stenosis.

Because Fig. 1 Postoperative thorax X-ray Fig. 2 Laryngoscopy showing vocal bilateral cord paralysis 6 Case on Recurrent Nerve Lesion (Double) as a Consequence of Esophageal Resection 35 Fig. 3 Laryngoscopy after 6 months showing recovery of function of the right vocal cord of the respiratory insufficiency and stridor, it was decided to perform a tracheostomy. On the 17th postoperative day, a bronchopneumonia was diagnosed for which intravenous antibiotics were started for 7 days. On the 19th postoperative day, it was decided to start oral feeding with the assistance of a logopedist.

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