Simici P, Angelescu N, Popa F
Rev Chir Oncol Radiol O R L Oftalmol Stomatol Chir. 1975 Mar-Apr;24(2):117-22.
Two cases of postcaustic antropyloric stenosis are reported. The lesions developed 3 and respectively 5 weeks after ingestion of the caustic substance and surgery for complete stenosis was performed 35 and 56 days after the initial accident. In both cases antropylorectomy with gastroduodenoanastomosis of the Péan-Billroth type I, in two layers, was performed. Integrity of the esophagus and good function of the anastomotic mouth, appraised by the clinical symptomatology and evolution of the radiologic aspect, showed that at least in some cases it is possible to apply the curative intervention 5-6 weeks after the accident, without a previous shunt being necessary.
报告了两例苛性碱所致的胃幽门狭窄病例。损伤分别在摄入苛性物质后3周和5周出现,初次事故后35天和56天进行了完全狭窄的手术。两例均采用双层的Ⅰ型毕罗(Péan - Billroth)式胃十二指肠吻合术行胃幽门切除术。根据临床症状和放射学表现的演变评估,食管完整性和吻合口功能良好,这表明至少在某些情况下,事故发生5 - 6周后无需先行分流术即可进行根治性干预。