慢性肠系膜缺血血管重建术后的持续性特发性胃扩张。

Prolonged idiopathic gastric dilatation following revascularization for chronic mesenteric ischemia.

作者信息

Gauci Julia L, Stoven Samantha, Szarka Lawrence, Papadakis Konstantinos A

机构信息

Malta Medical School, Mater Dei Hospital, Msida, Malta (Julia L. Gauci).

Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA (Samantha Stoven, Lawrence Szarka, Konstantinos A. Papadakis).

出版信息

Ann Gastroenterol. 2014;27(3):273-275.

PMID:24975870

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4073031/

Abstract

A 71-year-old female presented with nausea, emesis, early satiety, and abdominal distension following revascularization for chronic mesenteric ischemia. Computed tomography angiogram showed gastric dilatation. Esophagogastroduodenoscopy, small bowel follow through, and paraneoplastic panel were negative. Gastric emptying was delayed. Despite conservative management, she required a percutaneous endoscopic jejunostomy. The development of a prolonged gastroparetic state has not been previously described.

摘要

一名71岁女性在因慢性肠系膜缺血进行血管重建术后出现恶心、呕吐、早饱及腹胀。计算机断层血管造影显示胃扩张。食管胃十二指肠镜检查、小肠造影及副肿瘤指标检查均为阴性。胃排空延迟。尽管采取了保守治疗，她仍需要行经皮内镜下空肠造口术。此前尚未有关于长期胃轻瘫状态发生的描述。