Cerebral air embolism as a complication of peptic ulcer in the gastric tube: case report

被引：3

作者：

Suzuki, Takahisa ^{[1
,2
]}

Ando, Takafumi ^{[1
]}

Usami, Akihisa ^{[2
]}

Shinoda, Masataka ^{[2
]}

Takashi, Hitomi ^{[2
]}

Murayama, Mutsumi ^{[2
]}

Uchiyama, Isako ^{[2
]}

Morise, Kazuhiro ^{[1
]}

Endo, Shinya ^{[2
]}

Haruki, Nobuhiro ^{[3
]}

Tashiro, Kazuhiro ^{[4
]}

Goto, Hidemi ^{[1
]}

机构：

[1] Nagoya Univ, Grad Sch Med, Dept Gastroenterol, Showa Ku, Nagoya, Aichi 4668550, Japan

[2] Toyota Mem Hosp, Dept Gastroenterol, Toyota 4718513, Japan

[3] Toyota Mem Hosp, Dept Surg, Toyota 4718513, Japan

[4] Toyota Mem Hosp, Dept Pathol, Toyota 4718513, Japan

来源：

BMC GASTROENTEROLOGY | 2011年 / 11卷

关键词：

ESOPHAGEAL REPLACEMENT; CANCER; CARCINOMA; RESECTION;

D O I：

10.1186/1471-230X-11-139

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Background: The reported incidence of ulcer formation in the gastric tube in esophageal replacement is rare. Case Presentation: This is the first report of a case of cerebral air embolism as a result of spontaneous perforation of an ulcer in the constructed gastric tube into the pulmonary vein during post-operative follow-up in a patient with esophageal cancer. Conclusions: Cerebral air embolism is a rare complication of penetrating gastric ulcer, but should be considered in patients with a history of esophagectomy with gastric conduit that present with acute neurologic findings.

引用

收藏

页数：3

相关论文

共 10 条

[1] INCREASED CHEMILUMINESCENCE AND ULCER DEVELOPMENT IN THE LOW BLOOD-FLOW STATE OF THE GASTRIC TUBE FOR ESOPHAGEAL REPLACEMENT [J].

AIKO, S ;

ANDO, N ;

SHINOZAWA, Y ;

OZAWA, S ;

KITAJIMA, M ;

KUROSE, I ;

TSUCHIYA, M .

JOURNAL OF CLINICAL GASTROENTEROLOGY, 1993, 17 :S161-S166

[2] Ulcer in the gastric tube for esophageal replacement: A comparison of 12 esophageal cancer patients with or without postoperative radiotherapy [J].

Koide, N ;

Hiraguri, M ;

Nishio, A ;

Hanazaki, K ;

Adachi, W ;

Shikama, N ;

Oguchi, M ;

Maezawa, T ;

Amano, J .

JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY, 2001, 16 (02) :137-141

[3]

Matsubara Toshiki, 2002, Eur J Cardiothorac Surg, V22, P1007, DOI 10.1016/S1010-7940(02)00564-X

[4] FATAL NONMALIGNANT ULCERATION IN THE GASTRIC TUBE AFTER ESOPHAGECTOMY [J].

MCDERMOTT, M ;

HOURIHANE, DO .

JOURNAL OF CLINICAL PATHOLOGY, 1993, 46 (05) :483-485

[5] LATE BENIGN INTRA-THORACIC GASTRIC PERFORATION AFTER ESOPHAGECTOMY FOR CARCINOMA [J].

PETERS, JL ;

FISHER, C ;

KENNING, BR ;

PYE, JK .

BRITISH MEDICAL JOURNAL, 1981, 282 (6275) :1512-1513

[6] Peptic ulcer of the gastric tube after esophagectomy for cancer: clinical implications [J].

Piessen, G. ;

Lamblin, A. ;

Triboulet, J.-P. ;

Mariette, C. .

DISEASES OF THE ESOPHAGUS, 2007, 20 (06) :542-545

[7] GASTROPERICARDIAL AND GASTROBRACHIOCEPHALIC VEIN FISTULAS CAUSED BY PENETRATING ULCERS IN A GASTRIC PEDICLE FOLLOWING ESOPHAGEAL CANCER RESECTION - A CASE-REPORT [J].

SHIMA, I ;

KAKEGAWA, T ;

FUJITA, H ;

YAMANA, H ;

SHIROUZU, G ;

MINAMI, T ;

TOH, Y ;

NISHIDA, H ;

SUEYOSHI, S .

JAPANESE JOURNAL OF SURGERY, 1991, 21 (01) :96-99

[8] Peptic ulcer-induced acute aortogastric fistula occurring 7 years after a pharyngogastrostomy following a resection for carcinoma of the esophagus: Report of a case [J].

Takebayashi, T ;

Okushiba, S ;

Ohno, K ;

Ito, K ;

Sato, K ;

Morikawa, T ;

Kondo, S ;

Katoh, H .

SURGERY TODAY, 2004, 34 (09) :777-779

[9] Cerebral gas embolism due to upper gastrointestinal endoscopy [J].

ter Laan, Mark ;

Totte, Erik ;

van Hulst, Rob A. ;

van der Linde, Klaas ;

van der Kamp, Wim ;

Pierie, Jean-Pierre E. .

EUROPEAN JOURNAL OF GASTROENTEROLOGY & HEPATOLOGY, 2009, 21 (07) :833-835

[10] OCCURRENCE OF PEPTIC-ULCER IN THE GASTRIC TUBE USED FOR ESOPHAGEAL REPLACEMENT IN ADULTS [J].

UCHIDA, Y ;

TOMONARI, K ;

MURAKAMI, S ;

HADAMA, T ;

SHIBATA, O ;

SHIRABE, J .

JAPANESE JOURNAL OF SURGERY, 1987, 17 (03) :190-194