Nutritional Support for the Patient with Anastomotic Leakageafter Upper Gastrointestinal Surgery

doi:2013.3.2.57

J Acute Care Surg > Volume 3(2); 2013 > Article

Case Report

Journal of Surgical Critical Care 2013;3(2):57-59.
DOI: https://doi.org/10.17479/jacs.2013.3.2.57 Published online October 20, 2013.

Nutritional Support for the Patient with Anastomotic Leakageafter Upper Gastrointestinal Surgery

상부위장관 수술 후 발생한 문합부 누출이 있는환자에서의 영양공급

장지영*ㆍ심홍진†ㆍ이승환*ㆍ이재길*

*Department of Surgery, Yonsei University College of Medicine, Seoul, †Department of Surgery, Yonsei University Wonju College of Medicine, Wonju, Korea

Abstract

Postoperative nutritional support is an essential factor to recover the surgical patient. Recently a number of studies report that the enteral nutrition is more physiologic and has less complication compared with the parenteral nutrition. Herein we introduce failed case of appropriate support due to postoperative septic state after subtotal gastrectomy with Roux-en-y gastrojejunostomy. Finally, the patient was fail to recovery because of several gastrointestinal bleeding events and persistent intra-abdominal infection during surgical intensive care unit management. (J Acute Care Surg 2013;3:57-59)

Key Words: Nutritional support, Anastomotic leak, Jejunostomy, Gastrectomy