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腹腔镜胃空肠吻合术:腐蚀性摄入后胃出口梗阻问题的理想解决方案。

Laparoscopic Gastro-jejunostomy: An Ideal Solution to the Problem of Gastric Outlet Obstruction Post-corrosive Intake.

机构信息

Department of Surgical Unit, Services Hospital, Lahore, Pakistan.

出版信息

J Coll Physicians Surg Pak. 2022 Aug;32(8):1047-1050. doi: 10.29271/jcpsp.2022.08.1047.

DOI:10.29271/jcpsp.2022.08.1047
PMID:35932131
Abstract

OBJECTIVE

To evaluate the outcome of Laparoscopic Gastro-jejunostomy in patients presenting with Gastric Outlet obstruction secondary to Corrosive intake at the Services Hospital.

STUDY DESIGN

Case series.

PLACE AND DURATION OF STUDY

Department of Surgery, Services Hospital, Lahore, Pakistan, from June 2013 to June 2021.

METHODOLOGY

Data was gathered from the patients who presented with gastric outlet obstruction with a pre-hospitalised history of corrosive intake. Consenting patients subsequently underwent laparoscopic gastro-jejunostomy and were followed up post-operatively at a 1-week time-point and 4-week time-point to monitor progress. Studied variables included duration of surgery, duration of hospital stay, complications, and mortality at the 1st and 4th weeks.

RESULTS

A total of 30 patients participated in the study including 27 (90%) females and 3 (10%) males. The mean age was 27.2 ± 4.07 years. The mean duration of hospital stay was 9.3 ± 3.2 days. Complications were seen in 3 patients (10%) with 1 death (3.33%).

CONCLUSION

Laparoscopic gastro-jejunostomy appears to be safe and effective in corrosive intake patients presenting with gastric outlet obstruction.

KEY WORDS

Corrosive Intake, Gastric outlet obstruction, Laparoscopic, Gastrojejunostomy.

摘要

目的

评估腹腔镜胃空肠吻合术在因腐蚀性摄入导致胃出口梗阻的患者中的治疗效果,该研究在 Services 医院开展。

研究设计

病例系列研究。

研究地点和时间

巴基斯坦拉合尔 Services 医院外科,2013 年 6 月至 2021 年 6 月。

方法

数据来自有腐蚀性摄入史的胃出口梗阻住院患者。随后,同意手术的患者接受腹腔镜胃空肠吻合术,并在术后 1 周和 4 周进行随访,以监测进展情况。研究变量包括手术时间、住院时间、并发症以及第 1 周和第 4 周的死亡率。

结果

共有 30 名患者参与了这项研究,其中 27 名(90%)为女性,3 名(10%)为男性。平均年龄为 27.2 ± 4.07 岁。平均住院时间为 9.3 ± 3.2 天。3 名患者(10%)出现并发症,其中 1 例死亡(3.33%)。

结论

腹腔镜胃空肠吻合术对因腐蚀性摄入导致胃出口梗阻的患者似乎是安全且有效的。

关键词

腐蚀性摄入、胃出口梗阻、腹腔镜、胃空肠吻合术。

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