基于内镜的早期肠造口关闭术治疗肠系膜上动脉闭塞。
Endoscopy-based early enterostomy closure for superior mesenteric arterial occlusion.
机构信息
Department of Surgery, Social Insurance Yokohama Central Hospital, 268 Yamashita-cho, Naka-ku, Yokohama 231-8553, Japan.
出版信息
World J Gastroenterol. 2010 Feb 28;16(8):992-6. doi: 10.3748/wjg.v16.i8.992.
AIM
To evaluate the efficacy of endoscopic examination of blood flow and edema in the remnant bowel.
METHODS
We retrospectively studied 15 patients who underwent massive bowel resection with enterostomy for superior mesenteric arterial occlusion (SMAO); the patients were divided into a delayed closure group (D group) and an early closure group (E group).
RESULTS
The mean duration from initial operation to enterostomy closure was significantly shorter in the E group (18.3 +/- 2.1 d) than in the D group (34.3 +/- 5.9 d) (P < 0.0001). The duration of hospitalization after surgery was significantly shorter in the E group (33 +/- 2.2 d) than in the D group (51 +/- 8.9 d) (P < 0.0002).
CONCLUSION
Endoscopic examination of blood flow and edema in the remnant bowel is useful to assess the feasibility of early closure of enterostomy in SMAO cases.
目的
评估内镜检查剩余肠段血流和水肿的效果。
方法
我们回顾性研究了 15 例因肠系膜上动脉闭塞（SMAO）而行肠造口术的大量肠切除术患者；将患者分为延迟关闭组（D 组）和早期关闭组（E 组）。
结果
E 组（18.3+/-2.1d）初始手术到肠造口关闭的平均时间明显短于 D 组（34.3+/-5.9d）（P<0.0001）。E 组术后住院时间（33+/-2.2d）明显短于 D 组（51+/-8.9d）（P<0.0002）。
结论
内镜检查剩余肠段血流和水肿有助于评估 SMAO 患者肠造口早期关闭的可行性。
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