직장 절제 수술 후 발생한 십이지장 폐색 = Duodenal Obstruction after Rectal Surgery

다국어 초록 (Multilingual Abstract)

Background: Duodenal obstruction by rectal surgery is a rare occurrence. The diagnosis can be difficult and usually is made by exclusion. The aim of this study was to describe cases with such a complication and to discuss an operative alternative.
Method: From July 2004 to June 2007, there were 10 patients who underwent duodenal obstruction after rectal surgery. We review the literature concerning the etiopathogenesis, treatment and prevention of this rare entity.
Results: 5 of 10 cases, the operation method was intersphincteric resection with colonic J-pouch. The other 3 patients underwent the low anterior resection with colo-anal anastomosis. And the other 2 patients underwent restorative resection with colo-anal anastomosis. There was severe tension of inferior reach. One of 10 cases, obstruction was happened by severe adhesion
Conclusion: This study suggests that duodenal obstruction occurs because of various reason, that a more conservative approach may be successful in managing this complication. Above all, the tension of inferior reach is the most important cause of duodenal obstruction.