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[乙状结肠扭转的内镜治疗]

[Endoscopic resolutions of volvulus of the sigmoid colon].

作者信息

Marino B M, Drago G W, Rossi R, Revelli G, Piccoli F, Kiss A, Vitale L

机构信息

U.S.L., Ospedale Maggiore, Chieri, Divisione di Chirurgia Generale.

出版信息

Minerva Chir. 1990 Apr 15;45(7):463-7.

PMID:2370958
Abstract

The flexible colonoscope has brought considerable advantages to the diagnosis and nonsurgical treatment of volvulus. In the case of repeated recurrences that make surgery vital because of the onset of signs of vascular trouble on the twisted ansa, preoperative resolution permits correction of hydroelectrolytic imbalances and the preparation of the colon with the possibility of operating with no need for protective colostomy. It also allows resolution of the acute situation in the presence of contraindications to intervention.

摘要

可弯曲结肠镜为肠扭转的诊断和非手术治疗带来了诸多优势。对于因扭转袢出现血管病变迹象而使手术成为必要的反复复发病例,术前复位可纠正水电解质失衡,并为结肠做准备,从而有可能在无需进行保护性结肠造口术的情况下进行手术。它还能在存在干预禁忌证的情况下解决急性情况。

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