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Iatrogenic Gastrointestinal Complications pp 165–196Cite as

Complications of Gastric and Duodenal Surgery

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Part of the book series: Radiology of Iatrogenic Disorders ((IATROGENIC))

Abstract

Many patients suffer complications, concurrent illness, recurrent disease, and generalized debilitation following major gastroduodenal surgery. Some of these problems represent the inherent risk of operation to relieve the original symptoms. It is difficult, however, to clearly define the iatrogenic complications because surgical procedures are initiated by physicians, and thus any subsequently encountered problem may be technically considered iatrogenic in nature. In this chapter we will review those complications that may be created by and related to specific surgical procedures but that do not necessarily imply error in technique. Problems directly due to surgical oversights will also be discussed and the postsurgical radiographic anatomy of the upper gastrointestinal tract presented with emphasis on findings that may simulate other diseases.

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References

  1. Macleod JB: The surgery of peptic ulcer. Scott Med J 16: 141–145, 1971

    PubMed  CAS  Google Scholar 

  2. Tanner NC: The surgical treatment of peptic ulcer. Br J Surg 51: 5–23, 1964

    Article  PubMed  CAS  Google Scholar 

  3. Hoerr SO: A review and evaluation of operative procedures used for chronic duodenal ulcer. Surg Clin North Am 56: 1289–1296, 1976

    PubMed  CAS  Google Scholar 

  4. Hardy JD: Problems associated with gastric surgery—A review of 604 consecutive patients with annotation. Am J Surg 108: 699–716, 1964

    Article  PubMed  CAS  Google Scholar 

  5. Dodsworth JM, Fischer JE; Surgical therapy of chronic peptic ulcer—Preoperative assessment, choice of operations and consequences. Surg Clin North Am 54: 529–547, 1974

    PubMed  CAS  Google Scholar 

  6. Herrington JL, Sawyers JL, Scott HW: A 25–year experience with vagotomy-antrectomy. Arch Surg 106: 469–474, 1973

    PubMed  Google Scholar 

  7. Johnston D: A therapeutic index (scoring system) for the evaluation of operations for peptic ulcer. Gastroenterology 70: 433–438, 1976

    PubMed  CAS  Google Scholar 

  8. Johnston D: Operative mortality and postoperative morbidity of highly selective vagotomy. Br J Surg 62: 160–161, 1975

    PubMed  CAS  Google Scholar 

  9. Dozois R, Kelly KA: Gastric secretion and motility in duodenal ulcer: Effect of current vagotomies. Surg Clin North Am 56: 1267–1296, 1976

    PubMed  CAS  Google Scholar 

  10. Johnston D, Humphrey CS, Walker BE, et al: Vagotomy without diarrhea. Br Med J 3: 788–790, 1972

    Article  PubMed  CAS  Google Scholar 

  11. Baron JH, Spencer J: Facts and heresies about vagotomy. Surg Clin North Am 56: 1297–1312, 1976

    PubMed  CAS  Google Scholar 

  12. Johnston D, Goligher JC: Selective, highly selective, or truncal vagotomy in 1976—A clinical appraisal. Surg Clin North Am 56: 1313–1334, 1976

    PubMed  CAS  Google Scholar 

  13. DeMeester TR, Johnson LF, Kent AH: Evaluation of current operations for prevention of gastroesophageal reflux. Ann Surg 180: 511–525, 1974

    Article  PubMed  CAS  Google Scholar 

  14. Maingot R: Abdominal Operations, 6th ed, vol 1, New York: Appleton-Century-Crofts 1974

    Google Scholar 

  15. Burhenne HJ: Roentgen anatomy and terminology of gastric surgery. Am J Roentgenol 91: 731–743, 1964

    CAS  Google Scholar 

  16. Burhenne HJ: Postoperative defects of the stomach. Semin Roentgenol 6: 182–192, 1971

    Article  PubMed  CAS  Google Scholar 

  17. Burrell M, Curtis AM: Sequelae of stomach surgery. CRC Crit Rev Diagn Imaging 10: 17–97, 1977

    PubMed  CAS  Google Scholar 

  18. Zatzkin HR, Riera A: Upper gastrointestinal examination after gastric surgery. Radiology 55: 193–206, 1950

    PubMed  CAS  Google Scholar 

  19. Gold RP, Seaman WB: The primary double-contrast examination of the postoperative stomach. Radiology 124: 297–305, 1977

    PubMed  CAS  Google Scholar 

  20. Nissen R, Rossetti M: Surgery of hiatal and other diaphragmatic hernias. J Int Coll Surg 43: 663–674, 1965

    PubMed  CAS  Google Scholar 

  21. Feigin DS, James AE Jr, Stitik FP, et al: The radiological appearance of hiatal hernia repairs. Radiology 110: 71–77, 1974

    PubMed  CAS  Google Scholar 

  22. Skucas J, Mangla JC, Adams JT, Cutcliff W: An evaluation of the Nissen fundoplication. Radiology 118: 539–543, 1976

    PubMed  CAS  Google Scholar 

  23. Fisher MS: The Hofmeister defect—A normal change in the postoperative stomach. Am J Roentgenol 84: 1082–1086, 1960

    CAS  Google Scholar 

  24. Burhenne HJ: The postoperative stomach. In Margolis AR, Burhenne HJ (eds): Alimentary Tract Roentgenology, vol 1. St. Louis: Mosby 1973, pp 740–783

    Google Scholar 

  25. Bloch C, Wolf BS: The gastroduodenal channel after pyloroplasty and vagotomy: A cineradiography study. Radiology 84: 43–51, 1965

    PubMed  CAS  Google Scholar 

  26. Eklof O, Ohlsson S: Postoperative plication deformity with foreign-body granuloma simulating tumor of the stomach. Report of 3 cases. Acta Chir Scand 123: 125–130, 1962

    PubMed  CAS  Google Scholar 

  27. Sasson L: Tumor-simulating deformities after subtotal gastrectomy. JAMA 174: 280–283, 1960

    PubMed  CAS  Google Scholar 

  28. Ochsner SF, Watson JD: Radiologic evaluation of early postoperative abdominal complaints. South Med J 58: 1439–1446, 1965

    Article  PubMed  CAS  Google Scholar 

  29. Kraft RO, Fry WJ, De Weese MS: Postvagotomy gastric atony. Arch Surg 88: 865–874, 1964

    PubMed  CAS  Google Scholar 

  30. Rimer DG: Gastric retention without mechanical obstruction: A review. Arch Intern Med 117:287– 299, 1966

    Google Scholar 

  31. Bryant LR, Woit JF, Kloecker RJ: A study of the factors affecting the incidence and duration of postoperative pneumoperitoneum. Surg Gynecol Obstet 117: 145–150, 1963

    PubMed  CAS  Google Scholar 

  32. Heslin DJ, Malt RA: Progressive postoperative pneumoperitoneum: Air entering through drain sites. Am J Roentgenol 92: 1166–1168, 1964

    CAS  Google Scholar 

  33. Engel S: Gastrostomy. Surg Clin North Am 49: 1289–1295, 1969

    PubMed  CAS  Google Scholar 

  34. Connar RG, Sealy WC: Gastrostomy and its complications. Ann Surg 143: 245–250, 1956

    PubMed  CAS  Google Scholar 

  35. Goodman LR, Wittenberg J, Messer R: Duodenal obstruction—An unusual complication of a gastrostomy feeding catheter. Br J Radiol 44:883– 885, 1971

    Google Scholar 

  36. Haws EB, Sieber WK, Kiesewetter WB: Complications of tube gastrostomy in infants and children. Ann Surg 164: 284–290, 1966

    Article  PubMed  CAS  Google Scholar 

  37. Bryk D: Postgastrostomy deformity of the stomach. Gastrointest Radiol 2: 259–261, 1977

    Article  PubMed  CAS  Google Scholar 

  38. Manfredi D, Campioni N, LaFerla G, et al: Tube prosthesis in the palliative treatment of cancer of the esophagus and cardia. Ann Ital Chir 48:215– 225, 1976

    Google Scholar 

  39. Anscombe AR, Pearson K, Taylor TV: A simple method for the introduction of an oesophageal tube in advanced carcinoma of the oesophagus. Br J Surg 63: 947–948, 1976

    Article  PubMed  CAS  Google Scholar 

  40. Atkinson M, Ferguson R: Fibroptic endoscopic palliative intubation of inoperable esophagogastric neoplasms. Br Med J 1: 266–267, 1977

    Article  PubMed  CAS  Google Scholar 

  41. Mihas AA, Han S: Gastric diverticula following subtotal gastrectomy. Gastrointest Radiol 2: 263–265, 1977

    Article  PubMed  CAS  Google Scholar 

  42. Brown CH, Disconnectte RP, Albee RD: Diverticula of the stomach. Gastroenterology 12: 10–23, 1949

    PubMed  CAS  Google Scholar 

  43. Goldstein R, Butterfield W: Modified Nissen fundoplication and the “gas-bloat” syndrome as measured by the inability to vomit—An experimental study. Am J Surg 126: 89–92, 1973

    Article  PubMed  CAS  Google Scholar 

  44. Woodward ER, Thomas HF, McAlhany JC: Comparison of crural repair and Nissen fundoplication in the treatment of esophageal hiatus hernia with peptic esophagitis. Ann Surg 173: 782–792, 1971

    Article  PubMed  CAS  Google Scholar 

  45. Polk HC Jr, Zeppa R: Hiatal hernia and esophagitis: A survey of indications for operation and technic and results of fundoplication. Ann Surg 173: 775–781, 1971

    Article  PubMed  Google Scholar 

  46. Bushkin FL, Neustein CL, Parker TH, et al: Nissen fundoplication for reflux peptic esophagitis. Ann Surg 185: 672–677, 1977

    Article  PubMed  CAS  Google Scholar 

  47. Nicholson DA, Nohl–Oser HC: Hiatus hernia: A comparison between two methods of fundoplication by evaluation of the long–term results. J Thorac Cardiovasc Surg 72: 938–943, 1976

    PubMed  CAS  Google Scholar 

  48. Cain GD, Moore P Jr, Patterson M: Bezoars—A complication of the postgastrectomy state. Am J DigDis 13: 801–809, 1968

    Google Scholar 

  49. Rogers LF, Davis EK, Harle TS: Phytobezoar-formation and food boli following gastric surgery. Am J Roentgenol 119: 280–290, 1973

    CAS  Google Scholar 

  50. Goldstein HM, Cohen LE, Hägen RO, et al: Gastric bezoars: A frequent complication in the postoperative ulcer patient. Radiology 107: 341–344, 1973

    PubMed  CAS  Google Scholar 

  51. Pollard H, Block G: Rapid dissolution of phytobezoar by cellulase enzyme. Am J Surg 116:933– 936, 1968

    Google Scholar 

  52. Wirthlin LS, Malt RA: Accidents of vagotomy. Surg Gynecol Obstet 135: 913–916, 1972

    PubMed  CAS  Google Scholar 

  53. Markowitz AM: Internal hernia after gastrojejunostomy. Surgery 49: 185–194, 1961

    PubMed  CAS  Google Scholar 

  54. Buckberg GD: Acute obstruction of the afferent loop after gastrectomy. Am J Surg 113: 682–687, 1967

    Article  PubMed  CAS  Google Scholar 

  55. Quinn WF, Gifford JH: The syndrome of proximal jejunal loop obstruction following anterior gastric resection. Calif Med 72: 18–25, 1950

    PubMed  CAS  Google Scholar 

  56. Burhenne HJ: The iatrogenic afferent–loop syndrome. Radiology 91: 942–947, 1968

    Google Scholar 

  57. Golden R: Functional obstruction of efferent loop of jejunum following partial gastrectomy. JAMA 148: 721–724, 1952

    CAS  Google Scholar 

  58. Bodon GR, Ramanath HK: The gastrojejunostomy efferent loop syndrome. Surg Gynec Obstet 134: 777–780, 1972

    PubMed  CAS  Google Scholar 

  59. Petterson S, Wallensten S: Leakage at suture lines after partial gastrectomy for peptic ulcer. Acta Chir Scand 135: 229–234, 1969

    Google Scholar 

  60. Rudko M, Price WE: Duodenal stump perforation. J Okla State Med Assoc 58: 337–340, 1965

    PubMed  CAS  Google Scholar 

  61. Howlett SA: Perforation of duodenal stump ten years after partial gastrectomy. South Med J 68: 639–640, 1975

    Article  PubMed  CAS  Google Scholar 

  62. Samuel E, Duncan JG, Philip T, et al: Radiology of the postoperative abdomen. Clin Radiol 14: 133–142, 1963

    Article  PubMed  CAS  Google Scholar 

  63. Jordan GL Jr, Walker LL: Severe problems with gastric emptying after gastric surgery. Ann Surg 177: 660–668, 1973

    Article  Google Scholar 

  64. Donovan I, Alexander-Williams J: Postoperative gastric retention and delayed gastric emptying. Surg Clin North Am 56:1413– 1419, 1976

    Google Scholar 

  65. Carter TL, Martel W: Contraction of the gastric antrum following a long-term gastrojejunostomy-Report of 2 cases. Radiology 91: 514–516, 1968

    Google Scholar 

  66. Hajdu N, Hyde I, Riddell V: Antropyloric hypertrophy in patients with long-standing gastroenterostomies—A study of 13 cases. Br J Radiol 41:49– 55, 1968

    Google Scholar 

  67. Marshal SF, Knud-Hansen J: Gastrojejunocolic and gastrocolic fistulas. Ann Surg 145: 770–782, 1957

    Article  Google Scholar 

  68. Schwartz SI, Lillehei RC, Shires GT, et al: Principles of Surgery, 2nd ed. New York: McGraw-Hill 1969

    Google Scholar 

  69. Thoeny RH, Hodgson JR, Scudamore HH: The roentgenologic diagnosis of gastrocolic and gastrojejunocolic fistulas. Am J Roentgenol 83:876– 881, 1960

    Google Scholar 

  70. Wychulis AR, Priestley JT, Foulk WT: A study of 360 patients with gastrojejunal ulceration. Surg Gynecol Obstet 122: 89–99, 1966

    PubMed  CAS  Google Scholar 

  71. Passaro E Jr, Gordon HE. Stabile BE: Marginal ulcer: A guide to management. Surg Clin North Am 56:1435–1444, 1976

    PubMed  Google Scholar 

  72. Schatzki R: The significance of rigidity of the jejunum in the diagnosis of postoperative jejunal ulcers. Am J Roentgenol 103: 330–338, 1968

    CAS  Google Scholar 

  73. Christoforidis A J, Nelson SW: Radiological manifestations of ulcerogenic tumors of the pancreas: The Zollinger-Ellison syndrome. JAMA 198:511– 516, 1966

    Google Scholar 

  74. Isenberg JI, Walsh JH, Grossman MI: Zollinger-Ellison syndrome. Gastroenterology 65: 140–165, 1973

    PubMed  CAS  Google Scholar 

  75. van Heerden JA, Bernatz PE, Rovelstad RA: The retained gastric antrum-Clinical considerations. Mayo Clin Proc 46: 25–30, 1971

    PubMed  Google Scholar 

  76. Burhenne JH: The retained gastric antrum. Preoperative roentgenologic diagnosis of an iatrogenic syndrome. Am J Roentgenol 101: 459–466, 1967

    CAS  Google Scholar 

  77. Beneventano TC, Glotzen P, Messinger NH: Retained gastric antrum. Am J Gastroenterol 59: 361–365, 1973

    Google Scholar 

  78. Safaie-Shirazi S, Chaudhuri TK, Chauduri TK, et al: Visualization of isolated retained antrum by using technetium 99-m. Surgery 73: 278–283, 1973

    PubMed  CAS  Google Scholar 

  79. Irvine WJ, Stewart AG, McLoughlin GP: Appraisal of application of technetium 99-m in the assessment of gastric function. Lancet 2: 644–653, 1967

    Google Scholar 

  80. Dunlap JA Jr, McLane RC, Roper TJ: The retained gastric antrum—A case report. Radiology 117: 371–372, 1975

    PubMed  Google Scholar 

  81. Chaudhuri TK, Chaudhuri TK, Shirazi SS, et al: Radioisotope scan—A possible aid in differentiating retained gastric antrum from Zollinger-Ellison syndrome in patients with recurrent peptic ulcer. Gastroenterology 65: 697–698, 1973

    PubMed  CAS  Google Scholar 

  82. Seaman WB: Prolapsed gastric mucosa through a gastrojejunostomy. Am J Roentgenol 110:304– 314, 1970

    Google Scholar 

  83. Levine M, Boley SJ, Mellins HZ, et al: Gastrojejunal mucosal prolapse. Radiology 80: 30–38, 1963

    PubMed  CAS  Google Scholar 

  84. Tanner NC: Personal observations and experiences in the diagnosis and management of ulcer disease and disabilities that follow peptic ulcer operations. Surg Clin North Am 56: 1349–1363, 1976

    PubMed  CAS  Google Scholar 

  85. Hardy JD: Problems associated with gastric surgery—A review of 604 consecutive patients with annotation. Am J Surg 108: 699–716, 1964

    Article  PubMed  CAS  Google Scholar 

  86. Jordan GL, Angel RT, Mcllhaney JS, et al: Treatment of the postgastrectomy dumping syndrome with a reversed jejunal segment interposed between the gastric remnant and the jejunum. Am J Surg 106: 451–459, 1963

    Article  PubMed  Google Scholar 

  87. Stalsberg H, Taksdal S: Stomach cancer following gastric surgery for benign conditions. Lancet 2: 1175–1177, 1971

    Article  PubMed  CAS  Google Scholar 

  88. Burrell, M, Tovloukian JS, and Curtis, AM, Roentgen manifestations of carcinoma in the gastric remnant. Gastrointest Radiol In Press

    Google Scholar 

  89. Feldman F, Seaman WB: P,rimary gastric stump cancer. Am J Roentgenol 115: 257–267, 1972

    CAS  Google Scholar 

  90. Moffat RC, Berkas EM: Bile esophagitis. Arch Surg 91: 963–966, 1965

    PubMed  CAS  Google Scholar 

  91. Clarke SD, Penry JB, Ward P: Oesophageal reflux after abdominal vagotomy. Lancet 2: 824–826, 1965

    Article  PubMed  CAS  Google Scholar 

  92. Dagradi AE, Stempien SJ, Seifer HW, et al: Terminal esophageal (vestibular) spasm after vagotomy. Arch Surg 85: 955–968, 1962

    PubMed  CAS  Google Scholar 

  93. Herrington JL, Sawyers JL, Whitehead WA: Surgical management of reflux gastritis. Ann Surg 180: 526–537, 1974

    Article  PubMed  Google Scholar 

  94. Barichello AW, Pimblett T, Dyck FJ, et al: Rupture of the stomach following oxygen therapy by nasal catheter. Can Med Assoc J 98: 855–858, 1968

    PubMed  CAS  Google Scholar 

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Authors
  1. Morton Burrell
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  2. Bernard S. Jay
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© 1981 Springer-Verlag New York Inc.

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Burrell, M., Jay, B.S. (1981). Complications of Gastric and Duodenal Surgery. In: Iatrogenic Gastrointestinal Complications. Radiology of Iatrogenic Disorders. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-5853-7_6

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  • DOI: https://doi.org/10.1007/978-1-4612-5853-7_6

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4612-5855-1

  • Online ISBN: 978-1-4612-5853-7

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