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Treatment of Postoperative Complications After Digestive Surgery pp 75–100Cite as

Prevention and Treatment of Major Complications After Gastroduodenal Surgery

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Abstract

Complications in gastric surgery, like union gastroesophageal and gastric cancer, are associated to visceral resection and lymphadenectomy. The anastomotic bleeding is diagnosed early by clinical suspicion and endoscopic study. Its management could be endoscopic in hemodynamically stable patients, although surgical in case of hemodynamic instability.

Esophageal jejunal anastomosis leakage may be controlled by endoprosthesis placement.

Complications in duodenal stump could be prevented by a correct surgical closure technique, and leakage requires surgical approach to control and deviate any biliopancreatic secretion.

Treatment of peptic ulcer perforation by primary suture, often by laparoscopic approach, is not free from complications; leakage requires re-suture or antropyloric resection and deviation.

Management of rebleeding from peptic ulcer could be controlled by endoscopic approach/arterial embolization, although surgical intervention could treat failures.

Benign stricture from upper digestive tract, usually secondary to tissue ischemia or leakage, has good response to pneumatic dilatation and requires reconstruction only in few cases.

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Author information

Authors and Affiliations

  1. Department of General Surgery III and Liver Transplant Unit, Hospital General Universitario Gregorio Marañón, Madrid, Spain

    Jose Luis Garcia Sabrido

  2. Department of Surgery III, Gregorio Marañon Hospital, Madrid, Spain

    Wenceslao Vasquez Jimenez MD, PhD

Authors
  1. Jose Luis Garcia Sabrido
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  2. Wenceslao Vasquez Jimenez MD, PhD
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Corresponding author

Correspondence to Wenceslao Vasquez Jimenez MD, PhD .

Editor information

Editors and Affiliations

  1. Department of Surgery, VU University Medical Centre, Amsterdam, The Netherlands

    Miguel A. Cuesta

  2. Department of Surgery, VU University Medical Centre, Amsterdam, The Netherlands

    H. Jaap Bonjer

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© 2014 Springer-Verlag London

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Sabrido, J.L.G., Jimenez, W.V. (2014). Prevention and Treatment of Major Complications After Gastroduodenal Surgery. In: Cuesta, M., Bonjer, H. (eds) Treatment of Postoperative Complications After Digestive Surgery. Springer, London. https://doi.org/10.1007/978-1-4471-4354-3_9

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  • DOI: https://doi.org/10.1007/978-1-4471-4354-3_9

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  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-4353-6

  • Online ISBN: 978-1-4471-4354-3

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