Postoperative Subphrenic Abscess following Gastrectomy for Gastric Cancer
From 1985 to 1989, a total of 598 gastric cancer patients underwent gastrectomies in the First Department of Surgery at Kurume University School of Medicine. Of these, 24 patients (4.0%) incurred a subphrenic abscess, postoperatively. Subphrenic abscesses occurred most frequently after total gastrec...
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| Veröffentlicht in: | Kurume medical journal 1990/11/01, Vol.37(3), pp.165-170 |
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| container_title | Kurume medical journal |
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| creator | TAKEDA, JINRYO HASHIMOTO, KEN TANAKA, TAKAHO KOUFUJI, KIKUO UMEZU, TOURU KAKEGAWA, TERUO |
| description | From 1985 to 1989, a total of 598 gastric cancer patients underwent gastrectomies in the First Department of Surgery at Kurume University School of Medicine. Of these, 24 patients (4.0%) incurred a subphrenic abscess, postoperatively. Subphrenic abscesses occurred most frequently after total gastrectomies at a rate of 17 of 197 (8.8%) cases. Leaking gastrointestinal anastomoses were responsible for 12 of the 17 (70.5%) abscesses. In 384 cases of distal gastrectomy, only 6 (1.69) cases with a subphrenic abscess occurred, and only 3 were due to anastomotic leakage. Among the total of 24 cases with subphrenic abscesses, 16 (67%) were related to an anastomotic leakage including a pancreatic fistula, while the other 8 (33%) showed no leakage by contrast roentgenography. When chest roentgenography shows a pleural effusion and an elevation of the diaphragm, then a subphrenic abscess must be suspected. The majority of patients were treated by replacing the intraabdominal drainage catheter inserted during the gastrectomy with a larger catheter. The overall operative mortality rate was 4.1%, due to a death in only one (MOF) patient. |
| doi_str_mv | 10.2739/kurumemedj.37.165 |
| format | Article |
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Of these, 24 patients (4.0%) incurred a subphrenic abscess, postoperatively. Subphrenic abscesses occurred most frequently after total gastrectomies at a rate of 17 of 197 (8.8%) cases. Leaking gastrointestinal anastomoses were responsible for 12 of the 17 (70.5%) abscesses. In 384 cases of distal gastrectomy, only 6 (1.69) cases with a subphrenic abscess occurred, and only 3 were due to anastomotic leakage. Among the total of 24 cases with subphrenic abscesses, 16 (67%) were related to an anastomotic leakage including a pancreatic fistula, while the other 8 (33%) showed no leakage by contrast roentgenography. When chest roentgenography shows a pleural effusion and an elevation of the diaphragm, then a subphrenic abscess must be suspected. The majority of patients were treated by replacing the intraabdominal drainage catheter inserted during the gastrectomy with a larger catheter. The overall operative mortality rate was 4.1%, due to a death in only one (MOF) patient.</description><identifier>ISSN: 0023-5679</identifier><identifier>EISSN: 1881-2090</identifier><identifier>DOI: 10.2739/kurumemedj.37.165</identifier><identifier>PMID: 2283837</identifier><language>eng</language><publisher>Japan: Kurume University School of Medicine</publisher><subject>Adult ; Aged ; anastomotic leakage ; drainage ; Female ; gastrectomy ; Gastrectomy - adverse effects ; gastric cancer ; Humans ; Male ; Middle Aged ; Stomach Neoplasms - surgery ; subphrenic abscess ; Subphrenic Abscess - diagnosis ; Subphrenic Abscess - etiology ; Subphrenic Abscess - therapy ; Suction</subject><ispartof>The Kurume Medical Journal, 1990/11/01, Vol.37(3), pp.165-170</ispartof><rights>THE KURUME MEDICAL JOURNAL</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,1876,4009,27902,27903,27904</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/2283837$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>TAKEDA, JINRYO</creatorcontrib><creatorcontrib>HASHIMOTO, KEN</creatorcontrib><creatorcontrib>TANAKA, TAKAHO</creatorcontrib><creatorcontrib>KOUFUJI, KIKUO</creatorcontrib><creatorcontrib>UMEZU, TOURU</creatorcontrib><creatorcontrib>KAKEGAWA, TERUO</creatorcontrib><title>Postoperative Subphrenic Abscess following Gastrectomy for Gastric Cancer</title><title>Kurume medical journal</title><addtitle>Kurume Med. J.</addtitle><description>From 1985 to 1989, a total of 598 gastric cancer patients underwent gastrectomies in the First Department of Surgery at Kurume University School of Medicine. Of these, 24 patients (4.0%) incurred a subphrenic abscess, postoperatively. Subphrenic abscesses occurred most frequently after total gastrectomies at a rate of 17 of 197 (8.8%) cases. Leaking gastrointestinal anastomoses were responsible for 12 of the 17 (70.5%) abscesses. In 384 cases of distal gastrectomy, only 6 (1.69) cases with a subphrenic abscess occurred, and only 3 were due to anastomotic leakage. Among the total of 24 cases with subphrenic abscesses, 16 (67%) were related to an anastomotic leakage including a pancreatic fistula, while the other 8 (33%) showed no leakage by contrast roentgenography. When chest roentgenography shows a pleural effusion and an elevation of the diaphragm, then a subphrenic abscess must be suspected. The majority of patients were treated by replacing the intraabdominal drainage catheter inserted during the gastrectomy with a larger catheter. The overall operative mortality rate was 4.1%, due to a death in only one (MOF) patient.</description><subject>Adult</subject><subject>Aged</subject><subject>anastomotic leakage</subject><subject>drainage</subject><subject>Female</subject><subject>gastrectomy</subject><subject>Gastrectomy - adverse effects</subject><subject>gastric cancer</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Stomach Neoplasms - surgery</subject><subject>subphrenic abscess</subject><subject>Subphrenic Abscess - diagnosis</subject><subject>Subphrenic Abscess - etiology</subject><subject>Subphrenic Abscess - therapy</subject><subject>Suction</subject><issn>0023-5679</issn><issn>1881-2090</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1990</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpNkMtOwzAQRS0EKqXwASyQsmKX4kcc28uqglJUCSRgbTnOpE3JCzsB9e9JSVXYzGjm3jkaXYSuCZ5SwdTdR-e6EkpIt1MmpiTmJ2hMpCQhxQqfojHGlIU8FuocXXi_xTiSkuIRGlEqmWRijJYvtW_rBpxp8y8IXruk2TiochvMEm_B-yCri6L-zqt1sDC-dWDbutz1WzfMvXNuKgvuEp1lpvBwdegT9P5w_zZ_DFfPi-V8tgptFGEeCoZpGkUEDKSGKW4kjZUBCpnkhDKeCZGlKSPYchEnUSZwnABRiTISOI85m6Dbgdu4-rMD3-oy7z8tClNB3XktMY2kwHsjGYzW1d47yHTj8tK4nSZY7-PTf_FpJjT5hd8c4F3S748Xh7x6_WnQt741azjqxrW5LeAfkSge7alsKD38aLIb4zRU7Ac0S4mu</recordid><startdate>1990</startdate><enddate>1990</enddate><creator>TAKEDA, JINRYO</creator><creator>HASHIMOTO, KEN</creator><creator>TANAKA, TAKAHO</creator><creator>KOUFUJI, KIKUO</creator><creator>UMEZU, TOURU</creator><creator>KAKEGAWA, TERUO</creator><general>Kurume University School of Medicine</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>1990</creationdate><title>Postoperative Subphrenic Abscess following Gastrectomy for Gastric Cancer</title><author>TAKEDA, JINRYO ; HASHIMOTO, KEN ; TANAKA, TAKAHO ; KOUFUJI, KIKUO ; UMEZU, TOURU ; KAKEGAWA, TERUO</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4405-7302d441eaeda395a8269ae2ef851235f77fdd310c576b4f706be19b9a8e55653</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1990</creationdate><topic>Adult</topic><topic>Aged</topic><topic>anastomotic leakage</topic><topic>drainage</topic><topic>Female</topic><topic>gastrectomy</topic><topic>Gastrectomy - adverse effects</topic><topic>gastric cancer</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Stomach Neoplasms - surgery</topic><topic>subphrenic abscess</topic><topic>Subphrenic Abscess - diagnosis</topic><topic>Subphrenic Abscess - etiology</topic><topic>Subphrenic Abscess - therapy</topic><topic>Suction</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>TAKEDA, JINRYO</creatorcontrib><creatorcontrib>HASHIMOTO, KEN</creatorcontrib><creatorcontrib>TANAKA, TAKAHO</creatorcontrib><creatorcontrib>KOUFUJI, KIKUO</creatorcontrib><creatorcontrib>UMEZU, TOURU</creatorcontrib><creatorcontrib>KAKEGAWA, TERUO</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Kurume medical journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>TAKEDA, JINRYO</au><au>HASHIMOTO, KEN</au><au>TANAKA, TAKAHO</au><au>KOUFUJI, KIKUO</au><au>UMEZU, TOURU</au><au>KAKEGAWA, TERUO</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Postoperative Subphrenic Abscess following Gastrectomy for Gastric Cancer</atitle><jtitle>Kurume medical journal</jtitle><addtitle>Kurume Med. J.</addtitle><date>1990</date><risdate>1990</risdate><volume>37</volume><issue>3</issue><spage>165</spage><epage>170</epage><pages>165-170</pages><issn>0023-5679</issn><eissn>1881-2090</eissn><abstract>From 1985 to 1989, a total of 598 gastric cancer patients underwent gastrectomies in the First Department of Surgery at Kurume University School of Medicine. Of these, 24 patients (4.0%) incurred a subphrenic abscess, postoperatively. Subphrenic abscesses occurred most frequently after total gastrectomies at a rate of 17 of 197 (8.8%) cases. Leaking gastrointestinal anastomoses were responsible for 12 of the 17 (70.5%) abscesses. In 384 cases of distal gastrectomy, only 6 (1.69) cases with a subphrenic abscess occurred, and only 3 were due to anastomotic leakage. Among the total of 24 cases with subphrenic abscesses, 16 (67%) were related to an anastomotic leakage including a pancreatic fistula, while the other 8 (33%) showed no leakage by contrast roentgenography. When chest roentgenography shows a pleural effusion and an elevation of the diaphragm, then a subphrenic abscess must be suspected. The majority of patients were treated by replacing the intraabdominal drainage catheter inserted during the gastrectomy with a larger catheter. The overall operative mortality rate was 4.1%, due to a death in only one (MOF) patient.</abstract><cop>Japan</cop><pub>Kurume University School of Medicine</pub><pmid>2283837</pmid><doi>10.2739/kurumemedj.37.165</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | The Kurume Medical Journal, 1990/11/01, Vol.37(3), pp.165-170 |
| issn | 0023-5679 1881-2090 |
| language | eng |
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| source | J-STAGE Free; MEDLINE |
| subjects | Adult Aged anastomotic leakage drainage Female gastrectomy Gastrectomy - adverse effects gastric cancer Humans Male Middle Aged Stomach Neoplasms - surgery subphrenic abscess Subphrenic Abscess - diagnosis Subphrenic Abscess - etiology Subphrenic Abscess - therapy Suction |
| title | Postoperative Subphrenic Abscess following Gastrectomy for Gastric Cancer |
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