RESUMO
Dumping is a common adverse effect of gastrectomy and severe dumping is one of the most intractable conditions in gastroenterology. When medical treatment and diet are insufficient, different operative techniques have been tried, all with an unsatisfactory rate of success. The Lygidakis technique for operative treatment of postgastrectomy-dumping is presented, and results from operations on four patients presented. The results obtained are promising, and Lygidakis operation may be considered as an important alternative to wellknown operative techniques when medical treatment or diet is without effect on severe dumping.
Assuntos
Síndrome de Esvaziamento Rápido/cirurgia , Adulto , Anastomose em-Y de Roux/métodos , Síndrome de Esvaziamento Rápido/diagnóstico , Síndrome de Esvaziamento Rápido/psicologia , Estudos de Avaliação como Assunto , Feminino , Gastrectomia/efeitos adversos , Humanos , Jejuno/cirurgia , Masculino , Pessoa de Meia-Idade , Prognóstico , Qualidade de VidaRESUMO
A case of subcutaneous emphysema of the abdominal and thoracic wall is presented. The cause was perisigmoiditis with a perforation into the abdominal wall. There was no concomitant pneumoperitoneum.
