A Case of Cardiopulmonary Failure after Surgical Repair for Upside Down Stomach
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- TAKAHARA Yoshihiro
- Department of Surgery, JCHO Funabashi Central Hospital
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- OGASAWARA Takeshi
- Department of Surgery, JCHO Funabashi Central Hospital
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- UNO Hidehiko
- Department of Surgery, JCHO Funabashi Central Hospital
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- NISHIDA Takahiro
- Department of Surgery, JCHO Funabashi Central Hospital
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- YOSHIZUMI Arihito
- Department of Surgery, JCHO Funabashi Central Hospital
Bibliographic Information
- Other Title
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- 術後呼吸・循環不全を呈したupside down stomachの1例
- 症例 術後呼吸・循環不全を呈したupside down stomachの1例
- ショウレイ ジュツゴ コキュウ ・ ジュンカン フゼン オ テイシタ upside down stomach ノ 1レイ
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Abstract
A 78-year-old woman was admitted to our hospital because of respiratory distress. The computed tomography scan showed volvulus of the stomach, in which almost the whole stomach had prolapsed into the mediastinum, a so-called “upside down stomach”. Positive pressure ventilation was needed for respiratory distress. Since nasogastric tube insertion and conservative management were not successful, emergency surgery was performed. She underwent laparoscopic repair including reduction of hernia content, excision of the sac, primary closure, and fundoplication (Toupet). Postoperatively, her cardiopulmonary dysfunction was prolonged. Chest X-ray showed a soft tissue shadow in the right lower mediastinum, and needle puncture showed what appeared to be old bloody discharge. After large esophageal hernia repair surgery, there is a risk of heart and lung compression by hematoma.
Journal
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- Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)
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Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) 79 (4), 744-748, 2018
Japan Surgical Association
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Details 詳細情報について
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- CRID
- 1390282763062757760
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- NII Article ID
- 130007502306
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- NII Book ID
- AA11189709
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- ISSN
- 18825133
- 13452843
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- NDL BIB ID
- 029042330
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- Text Lang
- ja
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- Data Source
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- JaLC
- NDL
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed