改良幽门旷置术用于治疗患有复杂十二指肠损伤的婴儿

Modified pyloric exclusion for infants with complex duodenal injuries.

作者信息

Harting Matthew T, Doherty Debra, Lally Kevin P, Andrews William M, Cox Charles S

机构信息

Division of Pediatric Surgery, Department of Surgery, University of Texas Medical School, MSB 5.246, 6431 Fannin, Houston, TX, USA.

出版信息

Pediatr Surg Int. 2005 Jul;21(7):569-72. doi: 10.1007/s00383-005-1457-y. Epub 2005 May 31.

DOI:10.1007/s00383-005-1457-y

PMID:15926045

Abstract

Duodenal injuries among infants are exceedingly rare. The use of pyloric exclusion in the treatment of infants is previously unreported. We report three cases of duodenal injury in infants who were surgically managed through duodenal diversion via pyloric exclusion with concomitant tube gastrostomy. A subsequent discussion of pyloric exclusion highlights the therapeutic rationale, surgical technique, and previous experience with this procedure in children.

摘要

婴儿十二指肠损伤极为罕见。此前尚无关于幽门旷置术用于治疗婴儿的报道。我们报告了3例婴儿十二指肠损伤病例，通过幽门旷置术行十二指肠转流术并同时进行胃造瘘术进行手术治疗。随后对幽门旷置术的讨论重点介绍了其治疗原理、手术技术以及此前该手术在儿童中的应用经验。