根治性胃切除术后即刻性胆囊炎：三例报告。
Acute cholecystitis immediately after radical gastrectomy: a report of three cases.
机构信息
Department of Gastroenterological Surgery, First Affiliated Hospital, Medical College, Zhejiang University, Hangzhou 310003, Zhejiang Province, China.
出版信息
World J Gastroenterol. 2010 Jun 7;16(21):2702-4. doi: 10.3748/wjg.v16.i21.2702.
Acute cholecystitis is not a common complication of gastrectomy. Its clinical presentations and management strategies in old patients have not been well described in available literature. This report describes the clinical features, management strategies, and treatment outcome of acute cholecystitis immediately after gastrectomy. Acute cholecystitis immediately after gastrectomy in old patients has different clinical presentations, such as fever and high plasma C-reaction protein level. Abdominal computed tomography (CT) scan and ultrasonography showed acute cholecystitis in our cases, which was treated with antibiotics and ultrasound-guided percutaneous transhepatic gallbladder drainage (PTGD). The results indicate that abdominal CT scan and ultrasonography can effectively diagnose acute cholecystitis after gastrectomy, which can be effectively treated with antibiotics and PTGD.
急性胆囊炎并非胃切除术后的常见并发症。在现有文献中，老年患者的临床表现和治疗策略尚未得到很好的描述。本报告描述了胃切除术后即刻发生的急性胆囊炎的临床特征、治疗策略和治疗结果。老年患者胃切除术后即刻发生的急性胆囊炎具有不同的临床表现，如发热和高血浆 C 反应蛋白水平。腹部 CT 扫描和超声检查显示我们的病例存在急性胆囊炎，采用抗生素和超声引导经皮经肝胆囊引流（PTGD）治疗。结果表明，腹部 CT 扫描和超声检查可有效诊断胃切除术后的急性胆囊炎，抗生素和 PTGD 可有效治疗该病。
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