Department of Pediatric Surgery, Shizuoka Children's Hospital, Shizuoka 420-8660, Japan.
J Pediatr Surg. 2011 Oct;46(10):2035-7. doi: 10.1016/j.jpedsurg.2011.05.024.
Pathologic aerophagia is sometimes seen in patients with neurologic disorders. It rarely causes massive bowel distention, ileus, and volvulus. Here, we report the use of esophagogastric separation and abdominal esophagostomy via jejunal interposition to prevent bowel distention caused by severe aerophagia in 2 patients with neurologic disorders in whom the usual nonoperative methods of management failed. In both cases, swallowed air was evacuated via the jejunostomy, eliminating bowel distention. This operation may be useful in patients with neurologic disorders associated with severe aerophagia.
病理性吞气症有时可见于神经障碍患者。它很少导致大量肠扩张、肠梗阻和肠扭转。在此，我们报告了使用食管胃分离和经空肠间置的腹部食管造口术来预防 2 例神经障碍患者因严重吞气症引起的肠扩张，这些患者的常规非手术治疗方法均失败。在这两种情况下，通过空肠造口术排出吞下的空气，消除了肠扩张。对于与严重吞气症相关的神经障碍患者，该手术可能是有用的。
