[儿童慢性特发性胃扭转]
[Chronic idiopathic gastric volvulus in children].
作者信息
Canazza L, Bianchini E, Cerri M, Fava G, Fontana M, Maestri L, Paccagnini S, Pansini A, Selvaggio G, Torricelli M, Zacconi L, Pansini L
机构信息
Istituti Clinici di Perfezionamento, Ospedale dei Bambini V. Buzzi, UO di Chirurgia Pediatrica, Via Castelvetro 32, 20154 Milano, Italia.
出版信息
Pediatr Med Chir. 2002 Jul-Aug;24(4):302-5.
OBJECTIVE
We report clinical, radiograpic and instrumental data about 18 cases of gastric chronic idiopathic volvulus observed since 1997 to june 2000.
METHOD
All cases diagnosed by barium meal, performed for vomiting or after a pHmetric esophageal monitoring, in cases of atipical symptoms of gastroesophageal reflux disease.
RESULTS
All patients underwent a conservative treatment (antireflux position and procinectics): 5 recovered after 1 year of treatment and 13 were operated on because they did not improve during medical therapy or relapsed after the end of conservative treatment.
CONCLUSION
Abnormal position of the stomach is not an absolute indication for surgical treatment. When medical treatment does not obtain improvement in symptoms, surgical option has to be discussed.
目的
我们报告自1997年至2000年6月观察到的18例胃慢性特发性扭转的临床、放射学和器械检查数据。
方法
所有病例均通过钡餐诊断，在出现呕吐或进行食管pH值监测后，针对胃食管反流病的非典型症状进行诊断。
结果
所有患者均接受了保守治疗（抗反流体位和促动力药）：5例在治疗1年后康复，13例因药物治疗期间无改善或保守治疗结束后复发而接受手术。
结论
胃的异常位置并非手术治疗的绝对指征。当药物治疗不能改善症状时，必须讨论手术选择。
Zotero 插件