What are the complications of gastrojejunostomy

summary

The human stomach is the most prone to problems, especially among young people. Young people don't care about their bodies. They pay more attention to diet. Gastrointestinal surgery has complications and bad effects. Let's talk about the complications of gastrojejunostomy.

What are the complications of gastrojejunostomy

First: gastric bleeding is generally within 24 hours, a small amount of dark red or brown blood content can be drained from the gastric tube, which is mostly due to the residual blood in the stomach or a small amount of exudation on the wound surface of gastrointestinal anastomosis, which is a normal phenomenon after operation. If a large amount of blood is drained from the gastric tube in a short time, especially blood, even hematemesis, melena, and hemorrhagic shock occur in severe cases, it is a small number of cases that the small blood vessels at the cutting end or anastomosis are not ligated or sutured tightly enough.

Second, the mortality of duodenal stump rupture is very high, about 10-15%. Most of the complications occurred 4-7 days after operation. The symptoms of peritonitis included sudden severe pain in the right upper abdomen, local or whole abdominal tenderness, rebound pain and abdominal muscle tension. The prevention method is to suture the duodenal stump properly. Once the stump rupture occurs, the surgical repair is difficult to succeed, and drainage should be performed immediately.

Third: gastrointestinal anastomotic rupture or fistula occurs more in 5-7 days after operation. If it occurs within 1-2 days after operation, it means that there is no good suture at all. Generally speaking, it is mostly caused by improper suture, excessive anastomotic tension, local tissue edema or hypoproteinemia. Gastrointestinal anastomotic rupture often causes severe peritonitis. If the peritonitis is caused by anastomotic rupture, the operation should be carried out immediately and the repair can be successful.

matters needing attention

In the process of gastrojejunostomy, it is inevitable to produce certain stimulation to the stomach, thus affecting the normal function of the gastrointestinal mucosa, especially prone to bleeding after the operation. In the later life of patients, intestinal obstruction may occur, which is a particularly serious complication.