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逆行性空肠胃套叠:一例报告并文献复习

Retrograde jejunogastric intussusception: A case report and review of the literature.

作者信息

Loi Chao-Man, Huang Shu-Yi, Chen Ying-Da, Chen Shian-Dian, Wu Jiann-Ming, Chen Kuo-Hsin

机构信息

Department of General Surgery, Far Eastern Memorial Hospital, Taipei, Taiwan.

Department of General Surgery, Far Eastern Memorial Hospital, Taipei, Taiwan.

出版信息

Asian J Surg. 2017 Jul;40(4):309-312. doi: 10.1016/j.asjsur.2014.04.001. Epub 2014 Jun 14.

Abstract

Retrograde jejunogastric intussusception (JGI) is a rare but potentially fatal complication after previous gastrectomy or gastric bypass surgery. Because of the prevalence of bariatric surgery, the number of cases of postoperative intussusception has increased markedly. Here, we present the case of a patient with retrograde jejunogastric intussusception, having a previous history of subtotal gastrectomy and gastrojejunostomy for peptic ulcer disease. Correct preoperative diagnosis was made by plain abdominal film, upper gastrointestinal series, computed tomographic scan, and esophagogastroduodenoscopy. The diagnosis was confirmed by laparoscopic examination.

摘要

逆行性空肠胃套叠(JGI)是既往胃切除术或胃旁路手术后一种罕见但可能致命的并发症。由于减肥手术的普及,术后肠套叠的病例数显著增加。在此,我们报告一例逆行性空肠胃套叠患者的病例,该患者既往因消化性溃疡疾病行胃大部切除术和胃空肠吻合术。通过腹部平片、上消化道造影、计算机断层扫描和食管胃十二指肠镜检查做出了正确的术前诊断。通过腹腔镜检查确诊。

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