Intraluminal migration of a surgical drain near an anastomosis site after total gastrectomy:A case report
作者机构：Department of Abdominal SurgeryUniversity Medical Centre LjubljanaLjubljana 1000Slovenia Faculty of MedicineUniversity of LjubljanaLjubljana 1000Slovenia Department of Gastroenterology and HepatologyUniversity Medical Centre LjubljanaLjubljana 1000Slovenia
出 版 物：《World Journal of Clinical Cases》 (世界临床病例杂志(英文))
年 卷 期：2025年第13卷第12期
页 面：53-58页
学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学]
主 题：Drain migration Esophagojejunal anastomosis Dehiscence Total gastrectomy Gastric cancer Case report
摘 要：BACKGROUND Esophagojejunal anastomotic leakage(EJAL)is a severe complication following gastrectomy for gastric cancer,typically treated with drainage and nutritional *** report a case of intraluminal drain migration near the esophagojejunal anastomosis(EJA),resulting in persistent drainage and mimicking EJAL after total *** SUMMARY A 64-year-old male underwent open total gastrectomy with Roux-en-Y reconstruction for gastric adenocarcinoma,with two silicone drains placed near the *** postoperative day(POD)4,the patient developed signs of peritonitis and sepsis,necessitating surgical re-exploration abscess drainage,peritoneal lavage,and drain repositioning.A contrast swallow study on POD 18 revealed rapid filling of the abdominal drain without extraluminal contrast *** drainage prompted an upper gastrointestinal endoscopy on POD 59,which revealed approximately 5 cm of the drain within the esophagus,with the perforation site located 2 cm distal to the intact *** drain was repositioned under endoscopic guidance.A repeat contrast radiograph on POD 67 demonstrated no evidence of extraluminal contrast extravasation or filling of the abdominal *** patient was subsequently discharged without further *** Intraluminal drain migration is a rare complication following gastric surgery but should be considered when persistent drainage occurs.
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