Kim Dong Wook, Park Youn Joon
Department of Surgery, Dankook University, College of Medicine, Cheonan, South Korea.
Pediatr Surg Int. 2012 Jan;28(1):67-70. doi: 10.1007/s00383-011-3001-6.
If full-thickness mucosa, including the mucosal crypt, has been almost denuded, mucosa cannot regenerate as has been shown by animal models. The authors experienced an unusual mucosal regeneration exceed denuded bowel that occur in midgut volvulus of duration 2 days in a 6-day-old infant. Santulli's jejunostomy was performed using seriously denuded small bowel to prevent short bowel syndrome, despite the risks of leakage or stricture. Subsequently, stomal mucosa was fully regenerated when grossly identified 19 days after the second operation without any surgical complications.
如果包括黏膜隐窝在内的全层黏膜几乎被剥脱，动物模型已表明黏膜无法再生。作者遇到过一例不同寻常的情况，一名6日龄婴儿发生中肠扭转持续2天，其黏膜再生超过了剥脱的肠段。尽管存在渗漏或狭窄风险，仍使用严重剥脱的小肠进行了Santulli空肠造口术以预防短肠综合征。随后，在第二次手术后19天肉眼观察时，造口黏膜已完全再生，且无任何手术并发症。
