[儿童胃扭转：五例报告]

[Gastric volvulus in children: five case reports].

作者信息

Ksia A, Haggui B, Mosbahi S, Maazoun K, Sahnoun L, Chahed J, Krichene I, Mekki M, Belghith M, Nouri A

机构信息

Service de chirurgie pédiatrique, hôpital Fattouma Bourguiba de Monastir, Tunisie.

出版信息

Arch Pediatr. 2014 Dec;21(12):1339-43. doi: 10.1016/j.arcped.2014.09.005. Epub 2014 Oct 22.

DOI:10.1016/j.arcped.2014.09.005

PMID:25449446

Abstract

UNLABELLED

Gastric volvulus is an abnormal rotation of all or a part of the stomach around one of its axes. It is a rare cause of intestinal obstruction in children. This anomaly can be primary, due to abnormalities of the gastric ligaments, or secondary to other congenital malformations. We report on the cases of five children treated between January 1994 and December 2011, four boys and one girl, with a medium age of 7 months. Diagnosis was based on clinical features, particularly in the upper gastrointestinal Rx contrast study, which confirmed the diagnosis. Four out of the five children underwent laparoscopic surgery with fixation of the stomach. A diaphragmatic hernia was associated in one case. Antireflux surgery was performed in three cases, and a diaphragmatic defect was closed in one case. The follow-up was uneventful after a medium period of 7 years.

CONCLUSION

good knowledge of this anomaly is the guarantee of early diagnosis and optimum treatment to ameliorate the prognosis.

摘要

未标注

胃扭转是胃的全部或部分围绕其某一轴的异常旋转。它是儿童肠梗阻的罕见原因。这种异常可为原发性，由胃韧带异常引起，或继发于其他先天性畸形。我们报告1994年1月至2011年12月期间治疗的5例儿童病例，4名男孩和1名女孩，平均年龄7个月。诊断基于临床特征，特别是上消化道造影检查，该检查证实了诊断。5名儿童中有4名接受了腹腔镜手术并固定胃。1例伴有膈疝。3例行抗反流手术，1例修复膈缺损。平均7年的随访结果良好。