Leaks and obstruction after gastric resection.

Abstract:

:Postoperative gastric retention may be minimized by avoiding the use of the Billroth I reconstruction when a large duodenal ulcer must be retained. Postoperative gastric retention is more likely to remit with conservative therapy if the procedure was a Billroth I reconstruction with a vagotomy. In other instances where there is difficulty in gastric emptying, a mechanical cause should be strongly suspected. The optimum duration of a conservative trial with suction for postoperative gastric retention may be debatable, and contrast radiography or endoscopy may be helpful; however, patience and suction are not long-term substitutes for a needed operation.

journal_name

Am J Surg

authors

Ahmad W,Harbrecht PJ,Polk HC Jr

doi

10.1016/0002-9610(86)90262-x

subject

Has Abstract

pub_date

1986-09-01 00:00:00

pages

301-7

issue

3

eissn

0002-9610

issn

1879-1883

pii

0002-9610(86)90262-X

journal_volume

152

pub_type

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