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远端肠梗阻综合征(DIOS):成人囊性纤维化的一种胃肠道并发症。

Distal intestinal obstructive syndrome (DIOS): a gastrointestinal complication of cystic fibrosis in adults.

作者信息

Mavilia Marianna

机构信息

Department of Medicine, University of Connecticut, 263 Farmington Ave, Farmington, CT, 06030, USA.

出版信息

Clin J Gastroenterol. 2019 Dec;12(6):571-573. doi: 10.1007/s12328-019-00979-7. Epub 2019 Apr 8.

DOI:10.1007/s12328-019-00979-7
PMID:30963407
Abstract

Distal intestinal obstructive syndrome (DIOS) is a gastrointestinal complication of cystic fibrosis caused by increased viscosity of intraluminal contents leading to partial or complete bowel obstruction. DIOS is often misdiagnosed or mistaken for surgical bowel obstruction or appendicitis. This can lead to unnecessary surgical intervention when DIOS should be treated medically with aggressive bowel regimen. The aim of this report is to present a case of a young female with cystic fibrosis presenting with DIOS and discuss the clinical recognition and management of DIOS.

摘要

远端肠梗阻综合征(DIOS)是囊性纤维化的一种胃肠道并发症,由肠腔内内容物粘度增加导致部分或完全性肠梗阻引起。DIOS常被误诊或误认作外科性肠梗阻或阑尾炎。当DIOS应以积极的肠道治疗方案进行药物治疗时,这可能导致不必要的手术干预。本报告的目的是呈现一例患有囊性纤维化且出现DIOS的年轻女性病例,并讨论DIOS的临床识别与管理。

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本文引用的文献

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Cystic Fibrosis & disorders of the large intestine: DIOS, constipation, and colorectal cancer.囊性纤维化与大肠疾病:DIOS、便秘和结直肠癌。
J Cyst Fibros. 2017 Nov;16 Suppl 2:S40-S49. doi: 10.1016/j.jcf.2017.06.013.
2
Long-term follow-up of distal intestinal obstruction syndrome in cystic fibrosis.囊性纤维化患者远端肠梗阻综合征的长期随访
World J Gastroenterol. 2015 Jan 7;21(1):318-25. doi: 10.3748/wjg.v21.i1.318.
3
Distal intestinal obstruction syndrome in cystic fibrosis: presentation, outcome and management in a tertiary hospital (2007-2012).
囊性纤维化患者的远端肠梗阻综合征:一家三级医院的临床表现、治疗结果及管理(2007 - 2012年)
ANZ J Surg. 2014 Oct;84(10):740-4. doi: 10.1111/ans.12397. Epub 2013 Nov 18.
4
Guidelines for the diagnosis and management of distal intestinal obstruction syndrome in cystic fibrosis patients.囊性纤维化患者远端肠道梗阻综合征的诊断和管理指南。
J Cyst Fibros. 2011 Jun;10 Suppl 2:S24-8. doi: 10.1016/S1569-1993(11)60005-2.