Alekseev G I, Veretnik G I, Archvadze V G, Baranovich V Iu
Khirurgiia (Mosk). 1989 Aug(8):101-3.
Analysis of 9 cases showed that diagnostic laparotomy is advisable in patients with side-to-side anastomosis of the small intestine who are suffering from chronic posthemorrhagic iron deficiency anemia and in whom the source of bleeding is not identified by methods of clinical examination. Improper techniques of the creation of a side-to-side anastomosis+ lead to the formation of blind pouches with the development of ulcers and erosions on the mucous membrane, which are the source of the bleeding. Resection of the anastomosis and subsequent establishment of an end-to-end anastomosis removes the source of the bleeding and comprises etiopathogenetic treatment of iron deficiency anemia in these patients.
对9例患者的分析表明，对于患有慢性出血后缺铁性贫血且经临床检查方法未确定出血源的小肠侧侧吻合患者，诊断性剖腹手术是可取的。侧侧吻合术的技术不当会导致盲袋形成，黏膜出现溃疡和糜烂，这就是出血的来源。切除吻合口并随后进行端端吻合可消除出血源，也是对这些患者缺铁性贫血的病因治疗。
