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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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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