alexa Duodenal Obstruction Linked to Duodenum Ischemia after Limited Local Surgery of Pancreatic Cyst Disease: A Case Report
ISSN: 2161-1076

Surgery: Current Research
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Research Article

Duodenal Obstruction Linked to Duodenum Ischemia after Limited Local Surgery of Pancreatic Cyst Disease: A Case Report

Zhong Jia*, Ya-Feng Wan, Jun Lu and Zhi-Tian Li

Department of Hepatopancreatobiliary Surgery, Nanjing Medical University Hangzhou Hospital (First People’s Hospital of Hangzhou), China

*Corresponding Author:
Zhong Jia
Department of Hepatopancreatobiliary Surgery
Nanjing Medical University Hangzhou Hospital
(First People’s Hospital of Hangzhou), China
Tel: +86-13958114181
Fax: +86-0571-87914773
E-mail: [email protected]

Received date August 14, 2016; Accepted date August 27, 2016; Published date September 02, 2016

Citation: Jia Z, Wan YF, Lu J, Li ZT (2016) Duodenal Obstruction Linked to Duodenum Ischemia after Limited Local Surgery of Pancreatic Cyst Disease: A Case Report. Surgery Curr Res 6:276. doi:10.4172/2161-1076.1000276

Copyright: © 2016 Jia Z, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Background: Cystic lesions of the pancreas are common and increasingly detected in Grade A hospitals. Majority of patients have accepted the limited local surgery due to a low risk for developing a malignancy. However, duodenal obstruction contributed to duodenum ischemia origin postoperatively is quite rare and difficult to treat. Objective: The potential causes of duodenal obstruction after surgery were analysised, and value of pharmacological treatments including Erythromycin was emphasized. Results: The upper digestive tract contrast radiography (UDCR) and enhanced-CT scan of abdomen revealed a narrow luminal cavity of duodenum especially its third part, and a remarkable thickened wall. The presentations removed completely after pharmacological treatments. No any complications including tumor recurrence and intestinal obstruction were found after 3-year follow-up. Conclusions: Erythromycin and Procaine allow for the therapy of ischemic duodenal obstruction.

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