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腹腔镜切除有症状的胃憩室:一种微创解决方案。

Laparoscopic resection of a symptomatic gastric diverticulum: a minimally invasive solution.

作者信息

Donkervoort S C, Baak L C, Blaauwgeers J L G, Gerhards M F

机构信息

Department of Surgery, Onze Lieve Vrouwe Gasthuis, Amsterdam, The Netherlands.

出版信息

JSLS. 2006 Oct-Dec;10(4):525-7.

PMID:17575774
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3015748/
Abstract

Gastric diverticula are rare and occasionally symptomatic. A sensation of fullness in the upper abdomen immediately after meals is the most common symptom. Dyspepsia and vomiting are less common. Ulceration with hemorrhage or perforation has been reported. If it is thought that complaints can be ascribed to the diverticulum and if proton pump inhibitors do not relieve symptoms, surgical resection is an option. Knowledge of the pitfalls in diagnosis and treatment of a gastric diverticulum are essential for successful and complete relief of symptoms. We report a successful laparoscopic approach as a minimally invasive solution to a symptomatic gastric diverticulum.

摘要

胃憩室罕见,偶有症状。餐后上腹部立即出现饱胀感是最常见的症状。消化不良和呕吐则较少见。已有溃疡伴出血或穿孔的报道。如果认为症状可归因于憩室,且质子泵抑制剂不能缓解症状,手术切除是一种选择。了解胃憩室诊断和治疗中的陷阱对于成功且完全缓解症状至关重要。我们报告了一例成功的腹腔镜手术方法,作为有症状胃憩室的微创解决方案。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/04be/3015748/91d24ec59340/jsls-10-4-525-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/04be/3015748/ac1c7d5eafce/jsls-10-4-525-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/04be/3015748/0ebdeeada142/jsls-10-4-525-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/04be/3015748/91d24ec59340/jsls-10-4-525-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/04be/3015748/ac1c7d5eafce/jsls-10-4-525-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/04be/3015748/0ebdeeada142/jsls-10-4-525-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/04be/3015748/91d24ec59340/jsls-10-4-525-g03.jpg

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本文引用的文献

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Laparoscopic resection of a gastric diverticulum: a case report.腹腔镜下胃憩室切除术:一例报告
JSLS. 2005 Apr-Jun;9(2):225-8.
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Laparoscopic management of a gastric diverticulum.胃憩室的腹腔镜治疗
Surg Endosc. 2001 Oct;15(10):1227-8. doi: 10.1007/s004640041019.
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Laparoscopic resection of gastric diverticulum.腹腔镜下胃憩室切除术
印度中部农村地区一例表现为上消化道出血的胃憩室病例。
Cureus. 2022 Aug 25;14(8):e28403. doi: 10.7759/cureus.28403. eCollection 2022 Aug.
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Ann Med Surg (Lond). 2022 Jan 26;74:103288. doi: 10.1016/j.amsu.2022.103288. eCollection 2022 Feb.
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Foregut Diverticula.前肠憩室
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Syncope with Surprise: An Unexpected Finding of Huge Gastric Diverticulum.惊吓后晕厥:巨大胃憩室的意外发现
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Chronic gastritis in a gastric diverticulum misdiagnosed as a left adrenal mass.胃憩室内的慢性胃炎被误诊为左肾上腺肿块。
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