Ziubryts'kyĭ M M, Slabins'kyĭ V V, Stryshka R Ie, Nikitina N M
Klin Khir. 2009 May(5):14-6.
The results of surgical treatment in 24 patients suffering chronic duodenal impassability (CDI), caused by various mechanical reasons, were analyzed. The most frequent of them were pancreatic cancer, arteriomesentery compression, pancreatic pseudocyst, volumic formations, adhesive deformity of duodenojejunal juncture, duodenal polyposis. There was proposed the method of duodenal arteriomesentery compression correction, which permits to restore effectively the duodenal motor-evacuatory function. While choosing the method of CDI it is necessary to pay attention to its etiologic cause.
对24例因各种机械性原因导致慢性十二指肠梗阻(CDI)患者的手术治疗结果进行了分析。其中最常见的病因是胰腺癌、肠系膜上动脉压迫、胰腺假性囊肿、占位性病变、十二指肠空肠交界处粘连畸形、十二指肠息肉病。提出了十二指肠肠系膜上动脉压迫矫正方法,该方法可有效恢复十二指肠的运动排空功能。在选择CDI的治疗方法时,有必要关注其病因。