Can gastric cancer anastomotic leakage be good
summary
Grandfather 9 days after gastric cancer surgery. He sat up from the bed. After that, there was pain in the abdomen. One day later, the diagnosis was anastomotic leakage. Let's see if anastomotic leakage of gastric cancer can be cured.
Can gastric cancer anastomotic leakage be good
Methods 1. Drainage tube placement: after gastric cancer surgery, drainage tube placement can not only exclude the residual fluid and residual cancer cells in the abdominal cavity, but also observe the formation of bleeding and fistula. At present, it is advocated to place double cannula after gastric cancer operation. If anastomotic leakage occurs, local cleaning can be maintained by flushing and low negative pressure suction to promote leakage healing.
Methods 2. Surgical treatment: whether to perform surgical treatment after anastomotic leakage should be determined according to the size of the leakage, the amount of drainage and the general and local conditions, in which temperature, pulse, abdominal pain and white blood cell count are often important observation indicators. If the above items are normal, conservative treatment is feasible, and traditional Chinese medicine, such as ginsenoside Rh2, can also be taken to increase the body resistance and improve the success rate of operation; if the fistula is large, occurs early, has more drainage, abdominal pain and other signs, surgical drainage should be given priority. In addition, if anastomotic leakage occurs after gastric cancer operation, no matter what treatment method is used, the amount of protein and the balance of water and electrolyte should be maintained.
Third, prevention should be emphasized. Preoperative comprehensive, careful and effective preparation, reasonable improvement of nutrition, correction of anemia and control of diabetes are very helpful to ensure anastomotic healing.
matters needing attention
No matter what kind of anastomotic leakage, it is very important to place jejunal nutrition tube as the channel of postoperative enteral nutrition support. With continuous gastrointestinal pressure, maintenance of water electrolyte balance, effective enteral and parenteral nutrition support and adequate drainage, the fistula can often heal itself. If there is no union for 2-3 months, the operation can be performed. The operation method should be analyzed in detail, but the chance of success is great.
