Hochman D J, Nivatvongs S, Selvasekar C R, Tantitemit T
Division of Colon and Rectal Surgery, Mayo Clinic, Rochester, Minnesota, USA.
Tech Coloproctol. 2007 Jun;11(2):152-4. doi: 10.1007/s10151-007-0347-9. Epub 2007 May 25.
Complications following ileal pouch-anal anastomosis (IPAA) have been well-described in the literature. While rare, small bowel volvulus following IPAA has been described. We describe the successful use of the modified Noble plication in such a patient with small bowel volvulus about an elongated mesentery. This largely 'historical' technique is well-suited to manage small bowel volvulus, especially when non-resectional management is preferred.
回肠储袋肛管吻合术（IPAA）后的并发症在文献中已有详尽描述。虽然罕见，但IPAA术后的小肠扭转也有相关报道。我们描述了改良的诺布尔折叠术在一名患有围绕冗长系膜的小肠扭转患者中的成功应用。这种在很大程度上属于“历史”范畴的技术非常适合处理小肠扭转，尤其是在更倾向于非切除性处理的情况下。
