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Complicated total esophagogastric dissociation: case report.
G Dipaola1, F S Camoglio, L Giacomello
1Paediatric Surgery Unit, Department of Surgery, Verona University, Verona.
Summary
Massive hemorrhagic gastritis in a child was successfully treated with fundus resection after total esophagogastric dissociation. This complication may stem from vagal denervation, leading to gastric issues.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Surgical Complications
Background:
- Total esophagogastric dissociation is a complex surgical procedure.
- Pyloroplasty is sometimes performed to aid gastric emptying post-procedure.
Observation:
- A pediatric case presented with massive hemorrhagic gastritis.
- The patient had a history of total esophagogastric dissociation without pyloroplasty.
Findings:
- Emergency fundus resection successfully treated the hemorrhagic gastritis.
- The complication is hypothesized to be linked to vagal denervation, causing gastric stagnation and hypergastrinemia.
Implications:
- This case highlights a potential severe complication of esophagogastric dissociation.
- Understanding the role of vagal innervation is crucial for preventing gastric stasis and hypergastrinemia post-surgery.