Géczi Tibor, Paszt Attila, Simonka Zsolt, Furák József, Lázár György
Szegedi Tudományegyetem Sebészeti Klinika 6720 Szeged Pécsi u. 6.
Magy Seb. 2011 Oct;64(5):239-41. doi: 10.1556/MaSeb.64.2011.5.4.
We report the case of a 45-year-old male patient who developed an acute peptic ulcer perforation of the tubal stomach on the second postoperative day after oesophagectomy. The patient underwent emergency surgery (perforation was closed with a Graham patch) followed by treatment in intensive care, and was finally discharged on the 19th postoperative day.
Gastric pull-up is a surgical technique that is widely used to re-establish the continuity of the gastrointestinal tract after oesophagectomy. Various early and late complications of reconstruction with the tubal stomach are well-known, such as gastric necrosis, gastritis, gastric ulcer, as well as benign and malignant tumors. The precise etiology of gastric tube ulceration is not known yet, however, it can develop not only in the late, but also in the early postoperative period, as well.
我们报告一例45岁男性患者，在食管切除术后第二天发生了管状胃急性消化性溃疡穿孔。患者接受了急诊手术（用Graham补片封闭穿孔），随后在重症监护室接受治疗，最终于术后第19天出院。
胃上提术是一种广泛用于食管切除术后重建胃肠道连续性的外科技术。管状胃重建的各种早期和晚期并发症是众所周知的，如胃坏死、胃炎、胃溃疡以及良性和恶性肿瘤。然而，胃管溃疡的确切病因尚不清楚，它不仅可在术后晚期发生，也可在术后早期发生。
