Önder ÖZDEN, Ender FAKIOĞLU, Hilmi Serdar İSKİT, Hasan OKUR, Ünal ZORLUDEMİR

Total Gastrik Nekrozlu İki Olguda Jejunal Mide Replasmanı

Çocuklarda total gastrektomi çok nadir ihtiyaç duyulan bir cerrahi işlem olduğundan mide replasmanı deneyimi de çok kısıtlıdır1. Bu çalışmada total gastrik nekroz nedeni ile jejunum kullanarak mide replasmanı yaptığımız iki olgu sunulmaktadır. İlk hastamız yakıcı madde içen 2 yaşında mide perforasyonu ve total nekroz nedeni ile acil ameliyata alınmış ve jejunal ansla onarım yapılmış bir erkek çocuktur. İkinci olgumuz ise 11 yaşında sol doğumsal diyafragma hernisine bağlı akut gastrik volvulus nedeni ile total gastrektomi ve Hunt-Lawrence tip ösefagojejunostomi yapılmış bir kız çocuktur. İki olgu ile sınırlı deneyimimiz, çocuklarda midenin tamamının kaybedildiği durumlarda jejunum ile onarımın iyi bir seçenek olduğunu düşündürmektedir

Anahtar Kelimeler:

Çocuk, mide replasmanı, gastrik volvulus, korozif madde

Jejunal Replacement of Stomach in Two Children with Total Gastric Necrosis

Total gastrectomy is an extremely rare procedure in children and experience with its replacement is very limited. We present two patients who had jejunal replacement due to total gastric necrosis. The first patient was a- 2-year-old boy who admitted with a history of caustic ingestion. He was taken operation because of gastric perforation and necrosis. Anastomosis was applied by using jejunal segments. The second patient was an 11-years-old girl who left diaphragmatic hernia and acute gastric volvulus. At laparotomy, Total gastrectomy and Hunt-Lawrence type gastroesophostomy were made. Reconstruction with jejunum is thought as a good option in total gastric necrosis according to our 2 patient experiences.

Keywords:

Children, stomach replacement, gastric volvulus, korosive substance,

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Yazışma Adresi / Address for Correspondence: Dr. Önder Özen Çukurova Üniversitesi Tıp Fakültesi Çocuk Cerrahisi Anabilim Dalı 01330, Balcalı Hastanesi Sarıçam/Adana e mail: onder24@hotmail.com geliş tarihi/received :03.01.2014 kabul tarihi/accepted:30.01.2014