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腐蚀性物质摄入导致的瘢痕性胃狭窄。

Cicatrical gastric stenosis caused by corrosive ingestion.

作者信息

Subbarao K S, Kakar A K, Chandrasekhar V, Ananthakrishnan N, Banerjee A

机构信息

Department of Cardiothoracic Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry, India.

出版信息

Aust N Z J Surg. 1988 Feb;58(2):143-6. doi: 10.1111/j.1445-2197.1988.tb01024.x.

Abstract

Sixteen patients with gastric cicatrization due to ingestion of corrosive agents were treated over a 7 year period at Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER) Hospital, Pondicherry. Fifteen patients developed gastric outlet obstruction due to ingestion of corrosives, while another had midgastric stenosis due to formalin intake. An associated oesophageal stricture was present in 62.5% of the cases. Partial gastrectomy was found to be the most satisfactory procedure and carried out in 60% of the cases. Pyloroplasty done in one patient was found inadequate within 1 year of surgery. Gastrojejunostomy carried out in two patients was associated with prolonged hospitalization due to malfunction of the anastomotic site.

摘要

在本地治里的贾瓦哈拉尔·尼赫鲁研究生医学教育与研究学院(JIPMER)医院,7年期间共治疗了16例因摄入腐蚀性物质导致胃瘢痕形成的患者。15例患者因摄入腐蚀性物质而出现胃出口梗阻,另有1例因摄入福尔马林而出现胃中部狭窄。62.5%的病例伴有食管狭窄。部分胃切除术被认为是最令人满意的手术方式,60%的病例采用了该手术。1例患者行幽门成形术,术后1年内发现效果不佳。2例患者行胃肠吻合术,因吻合口功能障碍导致住院时间延长。

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