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[肠肠吻合口功能障碍作为胃切除术后并发症的原因]

[Functional disorders of the enteroenteroanastomosis as a cause of postgastrectomy complications].

作者信息

Kochubeĭ V G, Bulygin V Ia

出版信息

Klin Khir (1962). 1989(8):11-3.

PMID:2811077
Abstract

Examined were 90 patients with the "syndrome" of the entero-enteric anastomosis, which developed after gastric resection. No pathognomonic symptoms of the disease were revealed. Diagnosis is the most effective in combination of fluorogastroenterography and endoscopy. Operated on were 26 patients with the severe course of the disease. Good results were noted after removal of pathologically changed entero-enteric anastomosis and reconstructive Roux-en-Y operation. In moderately pronounced "syndrome", the conservative measures are effective, which provide the long-term remission of the disease in case a patient keeps to the labour and rest regimen.

摘要

对90例胃切除术后出现肠-肠吻合口“综合征”的患者进行了检查。未发现该疾病的特征性症状。荧光胃肠造影和内镜检查相结合是最有效的诊断方法。对26例病情严重的患者进行了手术。切除病理改变的肠-肠吻合口并进行Roux-en-Y重建手术后,效果良好。对于症状中度明显的“综合征”,保守治疗措施有效,若患者坚持劳逸结合的生活方式,可使疾病长期缓解。

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