| Title: | Intraluminal migration of a surgical drain near an anastomosis site after total gastrectomy : a case report |
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| Authors: | ID Janež, Jurij (Author)
ID Romih, Jan (Author)
ID Čebron, Žan (Author)
ID Gavrić, Aleksandar (Author)
ID Plut, Samo (Author)
ID Grosek, Jan (Author) |
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| Files: |  PDF - Presentation file, download (3,88 MB)
MD5: 45F05BAD9CD79122A68C4D65598E9A0E
 URL - Source URL, visit https://www.wjgnet.com/2307-8960/full/v13/i12/99229.htm
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| Language: | English |
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| Typology: | 1.03 - Other scientific articles |
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| Organization: |  UKC LJ - Ljubljana University Medical Centre
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| Abstract: | Background: Esophagojejunal anastomotic leakage (EJAL) is a severe complication following gastrectomy for gastric cancer, typically treated with drainage and nutritional support. We report a case of intraluminal drain migration near the esophagojejunal anastomosis (EJA), resulting in persistent drainage and mimicking EJAL after total gastrectomy. Case summary: A 64-year-old male underwent open total gastrectomy with Roux-en-Y reconstruction for gastric adenocarcinoma, with two silicone drains placed near the EJA. On postoperative day (POD) 4, the patient developed signs of peritonitis and sepsis, necessitating surgical re-exploration abscess drainage, peritoneal lavage, and drain repositioning. A contrast swallow study on POD 18 revealed rapid filling of the abdominal drain without extraluminal contrast collection. Persistent drainage prompted an upper gastrointestinal endoscopy on POD 59, which revealed approximately 5 cm of the drain within the esophagus, with the perforation site located 2 cm distal to the intact EJA. The drain was repositioned under endoscopic guidance. A repeat contrast radiograph on POD 67 demonstrated no evidence of extraluminal contrast extravasation or filling of the abdominal drain. The patient was subsequently discharged without further incident. Conclusion: Intraluminal drain migration is a rare complication following gastric surgery but should be considered when persistent drainage occurs. |
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| Keywords: | surgical drain, gastrectomy |
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| Publication status: | Published |
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| Publication version: | Version of Record |
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| Year of publishing: | 2025 |
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| Number of pages: | str. 1-6 |
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| Numbering: | Vol. 13, iss. 12 |
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| PID: | 20.500.12556/DiRROS-25350  |
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| UDC: | 61 |
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| ISSN on article: | 2307-8960 |
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| DOI: | 10.12998/wjcc.v13.i12.99229 |
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| COBISS.SI-ID: | 222201859 |
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| Note: | Nasl. z nasl. zaslona;
Opis vira z dne 14. 1. 2025; |
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| Publication date in DiRROS: | 16.01.2026 |
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| Views: | 117 |
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| Downloads: | 83 |
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| Metadata: |    |
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