Endoscopic and morphological features of gastroenteroanastomosis in patients with complications after gastrectomy

Authors

  • O. N. Buriy
  • I. V. Gomoliako
  • I. S. Tereshkevich

DOI:

https://doi.org/10.14739/2310-1237.2015.2.48624

Keywords:

Ulcer, Gastroenteroanastomosis, Complications, Endoscopy, Histopathology

Abstract

Aim. 314 ulcer disease patients with pathology of gastro-enteric anastomosis (GEA) have been examined after intestinal and duodenal resection.

Methods and results. Early post gastro resection complications (51 patients): I group – evacuation disorders (anastomositis – 35%; infiltration in the area of anastomosis – 10%); II group – bleeding (acute erosive and ulcerative lesions – 17%). Features of early anastomositis (perioperative and deferred) are the following – more lesions of gastric anastomosis, focal ischemia and micro-necrosis, acute inflammation, marked angiomatosis forming sinusoids as a possible source of bleeding. Late post gastro resection pathology of anastomosis (263 patients): I group – evacuation disorders (anastomositis – 14.1%, stenosis of GEA – 5.3%); II group – pain syndrome (peptic ulcer of GEA – 8.4%, HP-associated atrophic gastritis – 31.2%); III group – bleeding (peptic ulcer of GEA – 4.1%).

Conclusion. Features of the late post gastro resection pathology of anastomosis are the following – disorder of mucosa architectonics (polymorphism of glands, joint of atrophic, hyperplastic and cystic changes); joint of dysplastic changes with the loss of basement membrane, fibrous deformation of mucosa, increase of the total volume of the lamina propria of mucosa; formation of erosions.

References

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How to Cite

1.
Buriy ON, Gomoliako IV, Tereshkevich IS. Endoscopic and morphological features of gastroenteroanastomosis in patients with complications after gastrectomy. Pathologia [Internet]. 2015Oct.8 [cited 2024Nov.8];(2). Available from: http://pat.zsmu.edu.ua/article/view/48624

Issue

Section

Original research