新生儿袖状胃切除术治疗多处胃穿孔：一例报告

Neonatal Sleeve Gastrectomy for Multiple Gastric Perforations: A Case Report.

作者信息

Reyna-Sepulveda Francisco

机构信息

General Surgery Department, University Hospital "Dr. José Eleuterio González", Autonomous University of Nuevo León.

出版信息

J Neonatal Surg. 2017 Jan 1;6(1):10. doi: 10.21699/jns.v5i3.355. eCollection 2017 Jan-Mar.

DOI:10.21699/jns.v5i3.355

PMID:28083496

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5224743/

Abstract

Neonatal gastric perforation (NGP) may be spontaneous, secondary to necrotizing enterocolitis (NEC), or due to distal obstruction. A 27-week old premature male newborn presented with pneumoperitoneum. A single perforation of stomach was found at surgery. Primary repair and gastrostomy were performed. On fifth postoperative day, pneumoperitoneum was again detected. At reoperation, multiple gastric perforations of the greater curvature were found. Sleeve gastrectomy was performed. The patient responded well to the treatment.

摘要

新生儿胃穿孔（NGP）可能是自发性的、继发于坏死性小肠结肠炎（NEC）或由远端梗阻引起。一名27周大的早产男婴出现气腹。手术中发现胃有一个穿孔。进行了一期修补和胃造口术。术后第5天，再次检测到气腹。再次手术时，发现胃大弯处有多个穿孔。实施了袖状胃切除术。患者对治疗反应良好。