Ischemic necrosis of proximal gastric remnant following subtotal gastrectomy with splenectomy

Area of Science:

• Gastroenterology
• Surgical Complications
• Vascular Surgery

Background:

• Ischemic necrosis of the gastric remnant is a rare but serious complication following subtotal gastrectomy.
• This complication is typically associated with high resections but can occur after distal stomach resections.

Observation:

• The authors present a case of gastric remnant necrosis occurring after subtotal gastrectomy with splenectomy.
• A review of existing literature on this rare complication was conducted.

Findings:

• The study highlights the importance of considering the variability of gastric blood flow during surgical procedures.
• Conservative management, including total parenteral nutrition, is proposed as a therapeutic approach.

Implications:

• This emphasizes the need for meticulous surgical planning and awareness of vascular anatomy in gastric surgery.
• Early recognition and conservative management may improve outcomes for patients experiencing this rare complication.