Cholecyst-jejunostomy for palliative surgery
| Autor: | Yoshiharu Nakamura, Yoshinori Sakata, Hiroshi Yoshida, Hideaki Takasaki, Hideki Kogo |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Obstructive jaundice medicine.medical_treatment Anastomosis 03 medical and health sciences 0302 clinical medicine Cholecyst-jejunostomy Melena Pancreatic cancer Case report Palliative surgery medicine business.industry Gallbladder General surgery Cancer Jaundice medicine.disease medicine.anatomical_structure 030220 oncology & carcinogenesis Jejunostomy Cholecystitis 030211 gastroenterology & hepatology Surgery medicine.symptom business |
| Zdroj: | International Journal of Surgery Case Reports |
| ISSN: | 2210-2612 |
| DOI: | 10.1016/j.ijscr.2021.01.020 |
| Popis: | Highlights • Many cases of unresectable cancer that cause obstructive jaundice require treatment. • Biliary reconstruction can be difficult to perform safely and quickly due to many factors. • Cholecyst-jejunostomy may be completed within 10 min. • Cholecyst-jejunostomy is an appropriate palliative surgery. Introduction and importance Many cases of unresectable cancer that cause obstructive jaundice require treatment. Depending on the patient's condition in these cases, surgery may be performed to treat jaundice. The main goal of palliative surgery is to improve the quality of life. Therefore, palliative surgery for obstructive jaundice must be performed safely and quickly. Case presentation This case presents a 45-year-old man with fever and back pain who was diagnosed with pancreatic head cancer and multiple liver metastases. Chemotherapy was initiated; however, during the course of treatment, the patient developed hemorrhage from pancreatic cancer that had invaded the duodenum caused hematemesis and melena. Therefore, the chemotherapy could not be continued. Because the patient also developed obstructive jaundice and cholangitis, a gastrojejunostomy and cholecyst-jejunostomy was performed. The surgery was successful; however, the cancer continued to progress, and patient died 31 days after surgery. Clinical discussion Biliary reconstruction can be difficult to perform safely and quickly due to many factors. This study shows that cholecyst-jejunostomy is effective for patients with end-stage cancer. In the long term, cholecyst-jejunostomy is not suitable for biliary reconstruction due to the possibility of bile congestion and cholecystitis. However, this easy and quick procedure is well indicated for emergency patients with a short life expectancy. Conclusion As an easy and quick procedure for emergency patients with a short life expectancy, jejunal anastomosis of the gallbladder is an appropriate palliative surgery that is indicated for jaundice treatment. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|