Samrat Ray, Naimish Mehta, Samiran Nundy
Chirurgia (Bucur). 2020 Jul-Aug;115(4):423-431. doi: 10.21614/chirurgia.115.4.423.
Post-gastrectomy complications have been the associated sequelae after curative gastrectomy for long time. They include a conundrum of symptoms ranging from serious metabolic alterations to disorders attributed to mechanical and neural factors after reconstruction of the digestive continuity. Though, with the advancement in the surgical expertise and techniques and shift towards medical and endoscopic management for benign gastro-duodenal ulcer disease, there has been a decline in the incidence of these complications; they continue to raise "red flags" after major oncologic gastric resections. Identification of these symptoms and protocol based management of the same is of utmost importance in the surgical armamentarium of trainees and practicing physicians and surgeons.
胃切除术后并发症长期以来一直是根治性胃切除术后的相关后遗症。它们包括一系列难题，从严重的代谢改变到消化连续性重建后由机械和神经因素导致的紊乱。尽管随着外科专业知识和技术的进步以及向良性胃十二指肠溃疡疾病的医学和内镜治疗的转变，这些并发症的发生率有所下降，但在大型肿瘤性胃切除术后它们仍然是“危险信号”。识别这些症状并基于方案进行管理，对于实习医生、执业医生和外科医生的手术技能至关重要。
