Silent invasion of Hem-O-Lok clip
Annals of Surgical Treatment and Research
;
: 159-161, 2018.
Artículo
en Inglés
| WPRIM
| ID: wpr-713267
ABSTRACT
A 58-year-old man underwent laparoscopy-assisted distal gastrectomy (LADG) with Billroth I gastroduodenostomy due to early gastric cancer. During surgery, the perigastric vessels were ligated with Hem-o-Lok clips. Esophagogastroduodenoscopy (EGD) 6 months later showed a fungating mass at the anastomosis site. Repeat EGD 1 year after LADG showed a Hem-o-Lok clip at the fungating mass lesion. Because the patient was asymptomatic, with no major abnormalities on clinical examination, and endoscopic removal of the clip would have been difficult due to the presence of adhesions and inflammation, no attempt was made to remove the clip. The patient remained well after the exposed Hem-o-Lok clip was identified. A third EGD 6 months later showed that the clip had disappeared from the anastomosis site, and that this site was covered with normal mucosa surrounding the scar.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Complicaciones Posoperatorias
/
Neoplasias Gástricas
/
Instrumentos Quirúrgicos
/
Gastroenterostomía
/
Endoscopía del Sistema Digestivo
/
Migración de Cuerpo Extraño
/
Cicatriz
/
Gastrectomía
/
Inflamación
/
Membrana Mucosa
Límite:
Humanos
Idioma:
Inglés
Revista:
Annals of Surgical Treatment and Research
Año:
2018
Tipo del documento:
Artículo
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