因中空内脏肌病导致的巨十二指肠经十二指肠成形术和空肠造口喂养成功治疗。

Mansell P I, Tattersall R B, Balsitis M, Lowe J, Spiller R C

Department of Medicine, University Hospital, Queen's Medical Centre, Nottingham.

Gut. 1991 Mar;32(3):334-7. doi: 10.1136/gut.32.3.334.

A 29 year old man with a history of childhood polymyositis developed insulin dependent diabetes and was found coincidentally to have chronic intestinal pseudo-obstruction due to visceral myopathy. Multiple full thickness biopsy specimens showed severe disease in the duodenum and the proximal jejunum only, with less involvement distally. Total parenteral nutrition has been avoided for more than a year by enteral feeding through a fine bore jejunostomy catheter positioned with its tip in the distal jejunum.

一名有儿童期多发性肌炎病史的29岁男性患胰岛素依赖型糖尿病，偶然发现因内脏肌病导致慢性肠道假性梗阻。多个全层活检标本显示仅十二指肠和空肠近端病变严重，远端受累较轻。通过将细孔空肠造口导管尖端置于空肠远端进行肠内喂养，已避免全胃肠外营养超过一年。