Zhang Wei-kang, Jiang Chun-fang, Zhang Shou-xi
Department of General Surgery, Union Hospital, Huazhong University of Science and Technology, Wuhan 430022, China.
Zhonghua Wei Chang Wai Ke Za Zhi. 2006 Jul;9(4):314-6.
To investigate the clinical characteristics,diagnosis and treatment of intestinal heterotopic gastric mucosa resulting in alimentary tract hemorrhage.
Eleven cases of intestinal heterotopic gastric mucosa with alimentary tract hemorrhage during the past 24 years in our hospital were reviewed and the clinical data were analyzed retrospectively.
The median age was 29 years old. Nine cases had abdominal pain, and radionuclide (99m)Tc-pertechnetate scan revealed bleeding lesion in 6 cases preoperatively. Segmental resection of the intestine with bleeding lesion were performed in all patients, postoperative pathology confirmed heterotopic gastric mucosa. The lesion was located in the jejunum in five cases and in the ileum in six cases. All lesions were complicated with diverticulum, or inflammatory mass on the intestinal wall, or abnormity of intestinal duplication.
Intestinal heterotopic gastric mucosa is difficult to be diagnosed preoperatively, and radionuclide (99m)Tc-pertechnetate scan plays a role in preoperative diagnosis.
探讨导致消化道出血的肠道异位胃黏膜的临床特征、诊断及治疗方法。
回顾我院过去24年中11例因肠道异位胃黏膜导致消化道出血的病例，并对临床资料进行回顾性分析。
中位年龄为29岁。9例有腹痛，6例术前放射性核素（99m）锝高锝酸盐扫描显示有出血病灶。所有患者均行出血病灶肠段切除术，术后病理证实为异位胃黏膜。病灶位于空肠5例，回肠6例。所有病灶均合并憩室、肠壁炎性肿块或肠重复畸形。
肠道异位胃黏膜术前难以诊断，放射性核素（99m）锝高锝酸盐扫描对术前诊断有一定作用。
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