胃癌胃切除术后重建后肠套叠。
Intussusception after reconstruction following gastrectomy for gastric cancer.
机构信息
Hepatic Surgery Center, Tongji Hospital of Tongji Medical College of Huazhong University of Science and Technology, Wuhan, Hubei, China.
Gastrointestinal Surgery Center, Tongji Hospital of Tongji Medical College of Huazhong University of Science and Technology, 1095, Jiefang Avenue, Wuhan, Hubei, China.
出版信息
World J Surg Oncol. 2021 Dec 8;19(1):340. doi: 10.1186/s12957-021-02456-3.
BACKGROUND
Gastric cancer is the most prevalent tumor in Chinese men, and surgery is currently the most important treatment. Billroth II and Roux-en-Y are the anastomosis methods used for reconstruction after gastrectomy. Jejunal intussusception is a rare complication after gastric surgery.
MAIN BODY
Intussusception after gastric surgery occurs mostly at the gastrojejunostomy site for Billroth II reconstruction, and the Y-anastomosis site for Roux-en-Y reconstruction. Many studies have reported that postoperative intussusception appears at the anastomosis after bariatric surgery, while a few have reported intussusception at the anastomosis and its distal end after radical gastrectomy.
CONCLUSION
A review was carried out to analyze intussusception after radical gastrectomy with roux-en-y anastomosis during the current situation. And the relevant mechanisms, diagnosis, treatment methods, etc. are described, hoping to provide better guidance for clinicians.
背景
胃癌是中国男性最常见的肿瘤，目前手术是最重要的治疗方法。毕罗氏Ⅱ式和 Roux-en-Y 是胃切除术后重建的吻合方法。空肠套叠是胃手术后罕见的并发症。
主要内容
胃手术后的套叠大多发生在毕罗氏Ⅱ式重建的胃空肠吻合部位，以及 Roux-en-Y 重建的 Y 吻合部位。许多研究报道，减重手术后吻合口出现术后套叠，而少数研究报道根治性胃切除术后吻合口及其远端出现套叠。
结论
对目前根治性胃切除术后 Roux-en-Y 吻合术发生空肠套叠的情况进行了回顾分析，并对相关机制、诊断、治疗方法等进行了描述，希望为临床医生提供更好的指导。
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