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  1. C100 医学部/医学系研究科
  2. C100b 紀要
  3. Nagoya journal of medical science
  4. 81(4)

Successful management of extensive bowel resection without intestinal continuity: a case report

https://doi.org/10.18999/nagjms.81.4.711
https://doi.org/10.18999/nagjms.81.4.711
8f80144f-c869-4ca5-927b-945569a61e75
名前 / ファイル ライセンス アクション
19_Mohri.pdf 19_Mohri.pdf (4.5 MB)
Item type 紀要論文 / Departmental Bulletin Paper(1)
公開日 2019-11-26
タイトル
タイトル Successful management of extensive bowel resection without intestinal continuity: a case report
著者 Mohri, Koichi

× Mohri, Koichi

WEKO 94502

Mohri, Koichi

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Takeuchi, Eiji

× Takeuchi, Eiji

WEKO 94503

Takeuchi, Eiji

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Miyake, Hideo

× Miyake, Hideo

WEKO 94504

Miyake, Hideo

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Nagai, Hidemasa

× Nagai, Hidemasa

WEKO 94505

Nagai, Hidemasa

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Yoshioka, Yuichiro

× Yoshioka, Yuichiro

WEKO 94506

Yoshioka, Yuichiro

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Okuno, Masataka

× Okuno, Masataka

WEKO 94507

Okuno, Masataka

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Yuasa, Norihiro

× Yuasa, Norihiro

WEKO 94508

Yuasa, Norihiro

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キーワード
主題Scheme Other
主題 bowel necrosis
キーワード
主題Scheme Other
主題 short bowel syndrome
キーワード
主題Scheme Other
主題 aortic dissection
キーワード
主題Scheme Other
主題 bile salt depletion
キーワード
主題Scheme Other
主題 intestinal continuity
抄録
内容記述 Patients with intestinal ischemia associated with acute aortic dissection often require emergent bowel resection, which results in serious complications. We present a case of successful surgical management of extensive bowel necrosis caused by acute aortic dissection. A 42-year-old man underwent emergent subtotal resection of the small intestine, right colectomy, tube gastrostomy, and transverse colostomy; however, intestinal continuity was not restored. He developed two major postoperative complications: unconsciousness due to metabolic alkalosis caused by massive discharge from the gastrostomy and jaundice due to bile salt depletion caused by disruption of the enterohepatic circulation. His serum bilirubin levels decreased after the infusion of gastric discharge through gastrostomy into the transverse colon through the colostomy; thereafter, a second operation was performed to restore gastrointestinal continuity. Overall, patients undergoing massive bowel resection without intestinal continuity require careful management of electrolytes and bile salt.
内容記述タイプ Abstract
出版者
出版者 Nagoya University Graduate School of Medicine, School of Medicine
言語
言語 eng
資源タイプ
資源 http://purl.org/coar/resource_type/c_6501
タイプ departmental bulletin paper
ID登録
ID登録 10.18999/nagjms.81.4.711
ID登録タイプ JaLC
関連情報
関連タイプ isVersionOf
識別子タイプ URI
関連識別子 http://www.med.nagoya-u.ac.jp/medlib/nagoya_j_med_sci/814.html
ISSN(print)
収録物識別子タイプ ISSN
収録物識別子 0027-7622
ISSN(Online)
収録物識別子タイプ ISSN
収録物識別子 2186-3326
書誌情報 Nagoya Journal of Medical Science

巻 81, 号 4, p. 711-716, 発行日 2019-11
著者版フラグ
値 publisher
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