What are the causes of anastomotic complications?

summary

What are the causes of anastomotic complications? Anastomotic ulcer is a long-term complication after gastric surgery. Anastomotic ulcer refers to gastric jejunostomy, in the anastomotic or near the mucosa ulcer, also known as recurrent peptic ulcer. Now, let's follow me to understand.

What are the causes of anastomotic complications?

Anastomotic leakage is one of the most common serious complications of colorectal surgery, and it is also the main cause of postoperative death. The incidence of anastomotic leakage is about 5% - 10%, and the mortality is about 1 / 3. Anastomotic leakage after colorectal resection often occurs within 4-9 days after operation, and in some patients it is about 10 days. Anastomotic ulcer: peptic ulcer after gastrectomy is called recurrent peptic ulcer, especially in the anastomotic or jejunal mucosa near the most common recurrent ulcer.

There is a history of peptic ulcer gastrectomy. The symptoms are similar to but different from those before peptic ulcer operation. Abdominal pain is the most common, mostly paroxysmal, with significant nocturnal pain. It often radiates to other places. The attack period of abdominal pain is longer, but the remission period is shorter. Eating or antacids can temporarily relieve it. Poor appetite, nausea, vomiting and weight loss are common. Some patients may have perforation, Obstruction and bleeding. Abdominal tenderness site is often associated with abdominal pain, resulting in abdominal pain can sometimes have abdominal muscle tension, longer course of disease, abdominal complex can touch the mass.

Itchy wound healing: in fact, and the body's skin structure and tissue regeneration capacity. It turns out that the human skin is divided into epidermis and dermis, with subcutaneous tissue under the dermis. In addition, the skin has hair, sebaceous glands, sweat glands, finger (toe) a and other appendages. Different skin structures have different feelings for wounds. Because the regeneration ability of various tissues in the human body is different, the regeneration ability of nerve tissue is low. Generally, when the nerve grows well, it is also when the wound grows well. When nerve endings grow into connective tissue, the wound can feel itching and pain.

matters needing attention

Relief methods: 1; 2. Prevent recurrence and avoid complications; 3. If the medical treatment is invalid, it can be operated again, including incomplete vagotomy or regeneration. 4. Drug treatment: after gastrectomy, ulcer recurrence should be treated with "a" drug, long-term or intermittent maintenance treatment can be adopted, and the treatment effect is not good. If economic conditions permit, "C" can be selected.