Management of internal hernia after radical gastrectomy for gastric cancer
10.3760/cma.j.issn.1671-7368.2019.12.009
- VernacularTitle: 胃癌根治术后内疝七例临床分析
- Author:
Wangxun JIN
1
;
Bing WANG
1
;
Yunli ZHANG
1
;
Xinbao WANG
1
;
Jianmin GUO
1
;
Jiantao YANG
2
;
Lingnan ZHANG
2
Author Information
1. Department of Abdominal Surgery, Zhejiang Cancer Hospital, Hangzhou 310013, China
2. Department of Radiology, Zhejiang Cancer Hospital, Hangzhou 310013, China
- Publication Type:Journal Article
- Keywords:
Stomach neoplasms;
Gastrectomy;
Intestinal obstruction;
Hernia
- From:
Chinese Journal of General Practitioners
2019;18(12):1161-1163
- CountryChina
- Language:Chinese
-
Abstract:
A total of 1 789 patients with gastric cancer underwent radical gastrectomy in our hospital from September 2015 to August 2017, internal hernia (IH) developed in 7 cases with a incidence rate of 0.4%. The general condition, the symptoms, imaging findings, treatment methods and prognosis as well as the types of digestive tract reconstruction of patients were retrospective analyzed. There were 4 cases of Petersen′s hernia, 2 cases of jejuno-jejuno mesenteric hernia and 1 case of diaphragm hernia. All patients developed mechanical obstruction. Imaging examination showed mesenteric vessels overriding sign and double whirl sign. Six patients recovered smoothly, 1 patient gave up treatment due to extensive small bowel infarction. It is indicated that the formation of abnormal channels in the abdominal cavity after radical gastrectomy may lead to IH. The mesenteric vessels overriding sign and the double whirl sign are the unique imaging findings of IH after radical gastrectomy. Closing the abnormal channel can prevent the occurrence of IH after gastrectomy.
