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胃大部切除加布朗吻合术后慢性逆行性空肠空肠套叠的首例视频病例报告。

First Video Case Report of Chronic Retrograde Jejunojejunal Intussusception after Subtotal Gastrectomy with Braun's Anastomosis.

作者信息

Bayrak Savaş, Bektaş Hasan, Derici Necdet, Çakar Ekrem, Çolak Şükrü

机构信息

Department of General Surgery, Istanbul Training and Research Hospital, Istanbul, Turkey.

Private Ataköy Hospital, Istanbul, Turkey.

出版信息

Case Rep Surg. 2017;2017:6945017. doi: 10.1155/2017/6945017. Epub 2017 Mar 7.

Abstract

Intussusception, which is seen rarely in adults, is defined as the pulling or invagination of a part of the intestine into another segment of the intestine. In this case report we present chronic retrograde jejunojejunal intussusception following gastric surgery with Braun's anastomosis in adult with video presentation. A 66-year-old woman, who had undergone gastric surgery 39 years ago and cholecystectomy 20 years ago, was admitted to our clinic with the complaints about weight loss, abdominal pain, nausea, and vomiting. Upper gastrointestinal endoscopy (UGISE) was applied, and patient was treated with surgery. This case report indicates that intussusception should be considered in the presence of clinical complaints following gastric surgery, as well as importance of endoscopy in diagnosis.

摘要

肠套叠在成人中较为罕见,其定义为一段肠管套入与其相连的肠腔内。在本病例报告中,我们通过视频展示了一名成年患者在接受胃手术后行布朗吻合术出现慢性逆行性空肠空肠套叠的情况。一名66岁女性,39年前接受过胃手术,20年前接受过胆囊切除术,因体重减轻、腹痛、恶心和呕吐前来我院就诊。进行了上消化道内镜检查(UGISE),并对患者进行了手术治疗。本病例报告表明,胃手术后出现临床症状时应考虑肠套叠,同时强调了内镜检查在诊断中的重要性。

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