Sham Minakshi, Phadke Dileep, Singh Dasmit
Department of Paediatric Surgery, B.J. Medical College & Sassoon General Hospitals, Pune - 411 001, India.
J Indian Assoc Pediatr Surg. 2010 Jul;15(3):104-5. doi: 10.4103/0971-9261.71754.
The management of very long tubular bowel duplications poses a special challenge to even the most skilled surgeon. In these cases, mucosal stripping is usually employed. We report a novel case of a two-year-old boy, with 120 cm long jejuno-ileal duplication, wherein, bowel salvage was achieved, utilizing the Bianchi principle, originally described for bowel lengthening in cases of short bowel syndrome.
即使是最熟练的外科医生,处理非常长的管状肠重复畸形也面临着特殊挑战。在这些病例中,通常采用黏膜剥脱术。我们报告了一例新颖的病例,一名两岁男孩患有120厘米长的空肠-回肠重复畸形,在此病例中,利用最初为短肠综合征病例的肠延长而描述的比安奇原理成功实现了肠挽救。