Oiwa Hiroshi, Ikemoto Yoshihiro, Mandai Koichi, Koide Kei, Nishida Toshio, Tabe Yasuji
Department of Respiratory Medicine, Higashi-hiroshima Medical Center, 513 Jike, Saijo, Higashi-hiroshima, Hiroshima, 739-0041, Japan.
Mod Rheumatol. 2005;15(5):371-3. doi: 10.1007/s10165-005-0422-x.
A 50-year-old man was admitted to hospital for dysphagia. The upper gastrointestinal series revealed esophageal stricture, pyloric stenosis, and hypomotile small intestine. He was diagnosed with systemic sclerosis sine scleroderma with gastrointestinal involvement. After subtotal gastrectomy with Billroth 2 anastomosis, he had recurrent intestinal pseudo-obstruction and perforation of the afferent loop. Our experience indicates that surgical procedures in bowel scleroderma, in which an afferent loop is reconstructed, could easily cause perforation of the afferent loop.
一名50岁男性因吞咽困难入院。上消化道造影显示食管狭窄、幽门狭窄和小肠动力不足。他被诊断为无硬皮病的系统性硬化症伴胃肠道受累。在进行毕Ⅱ式胃大部切除术后，他出现了反复的肠道假性梗阻和输入袢穿孔。我们的经验表明，在肠道硬皮病的手术中，若重建输入袢，很容易导致输入袢穿孔。
