Fitzgerald R, Conlon K
Department of Pediatric Surgery, Children's Hospital, Dublin, Ireland.
J Pediatr Surg. 1989 Sep;24(9):899-900. doi: 10.1016/s0022-3468(89)80591-3.
Three neonates with meconium ileus who failed to respond to non-operative measures were successfully treated by appendicectomy and irrigation with Gastrografin into the small bowel via the appendix stump. The meconium was emptied out and the stump ligated. This method avoids enterotomy, enterostomies or resection of bowel. The post-operative course is simplified and hospital stay decreased. Removal of the appendix precludes future disease of this organ which may be problematic in patients with cystic fibrosis.
3例胎粪性肠梗阻患儿对非手术治疗无反应，经阑尾切除术并通过阑尾残端向小肠内注入泛影葡胺成功治愈。胎粪被排空，残端结扎。该方法避免了肠切开术、肠造口术或肠切除术。简化了术后病程，缩短了住院时间。切除阑尾可避免该器官未来可能出现的疾病，而这在囊性纤维化患者中可能是个问题。
