Kurguzov O P
Khirurgiia (Mosk). 2004(12):18-21.
Results of treatment of 12 patients with acute small intestinal obstruction due to bezoars were analyzed. Mean age of the patients was 67,5+/-3,7 years. In 9 of them bezoars were localized in the ileum, in 3 -- in the jejunum. Mechanisms of bezoars formation are analyzed. Clinical symptoms of intestinal obstruction due to bezoars are regarded. Necessity of surgical treatment of these patients is noted. Bezoars were removed with enterotomy in 10 patients, in 2 -- with fragmentation and transposition in the cecum. Recommendations on surgical techniques are presented. All operated patients have recovered. There were no complications.
分析了12例因胃石导致急性小肠梗阻患者的治疗结果。患者平均年龄为67.5±3.7岁。其中9例胃石位于回肠，3例位于空肠。分析了胃石形成的机制。探讨了胃石所致肠梗阻的临床症状。指出了这些患者手术治疗的必要性。10例患者通过肠切开术取出胃石，2例通过破碎并将其移位至盲肠取出。提出了手术技术建议。所有接受手术的患者均康复。无并发症发生。
