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Medicina (B Aires) ; 84(2): 333-336, 2024.
Article in Spanish | MEDLINE | ID: mdl-38683519

ABSTRACT

Enteral nutrition through jejunostomy is a common practice in any general surgery service; it carries a low risk of complications and morbidity and mortality. We present the case of a patient with an immediate history of subtotal gastrectomy that began nutrition through jejunostomy and complicated with intestinal necrosis due to non-occlusive ischemia in the short period. The purpose of this work is to report on this complication, its pathophysiology and risk factors to take it into account and be able to take appropriate therapeutic action early.


La nutrición enteral por yeyunostomía es una práctica frecuente en cualquier servicio de cirugía general, esta conlleva bajo riesgo de complicaciones y morbimortalidad. Presentamos el caso de una paciente con antecedente inmediato de gastrectomía subtotal que inició nutrición por yeyunostomía y complicó con necrosis intestinal por isquemia no oclusiva en el corto lapso. La finalidad de este trabajo es informar sobre esta complicación, su fisiopatología y factores de riesgo para tenerla en cuenta y poder tomar precozmente una conducta terapéutica adecuada.


Subject(s)
Enteral Nutrition , Intestinal Perforation , Jejunostomy , Necrosis , Female , Humans , Middle Aged , Enteral Nutrition/adverse effects , Gastrectomy/adverse effects , Intestinal Perforation/etiology , Intestinal Perforation/surgery , Jejunostomy/adverse effects , Necrosis/etiology
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