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[Delayed esophagojejunostomy as a damage control principle]
I V Vostroknutov1, L G Grigoricheva1, A F Egorov1
1Altai Republican Hospital, Gorno-Altaisk, Russia.
Khirurgiia
|November 2, 2023
Summary
This study presents two rare gastric disease cases requiring gastrectomy and delayed esophagojejunostomy. The damage control principle was successfully applied due to complications like unclear resection extent and hemorrhagic shock.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Emergency Medicine
Context:
- Rare gastric diseases necessitate complex surgical interventions.
- Delayed esophagojejunostomy is sometimes required for objective reasons.
- Gastric surgery presents significant challenges, including potential complications.
Purpose:
- To describe the application of the damage control principle in two patients undergoing gastrectomy with delayed esophagojejunostomy.
- To highlight management strategies for challenging gastric resections.
- To review indications for delayed esophagojejunostomy in rare gastric pathologies.
Summary:
- Two patients with rare gastric diseases underwent gastrectomy with delayed esophagojejunostomy.
- One patient had an indeterminate resection extent, while the other experienced hemorrhagic shock.
- The damage control surgical principle was employed in both complex cases.
Impact:
- Demonstrates the utility of damage control surgery in managing severe gastric disease complications.
- Provides insights into surgical decision-making for rare gastric conditions.
- Contributes to the understanding of advanced gastrointestinal surgical techniques.
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