引发回乙状结肠扭结中扭结形成的因素。
Factors triggering knot formation in ileosigmoid knotting.
作者信息
Korkut Ercan, Atamanalp Sabri Selcuk
机构信息
Prof. Ercan Korkut, Assist. MD. Department of General Surgery, Faculty of Medicine, Ataturk University, Erzurum, Turkey.
Prof. Sabri Selcuk Atamanalp, MD. Department of General Surgery, Faculty of Medicine, Ataturk University, Erzurum, Turkey.
出版信息
Pak J Med Sci. 2022 Jul-Aug;38(6):1714-1716. doi: 10.12669/pjms.38.6.6133.
OBJECTIVES
Ileosigmoid knotting (ISK) is a rare double-loop ileus form. Therefore, its physiopathology including the triggering factors, are not well investigated. We aimed to discuss the physiopathology, particularly the triggering factors in ISK.
METHODS
The data of 80 patients with ISK were analyzed retrospectively until June 1986 and prospectively thereafter. As control group, the data of 80 patients with bowel obstruction arising from adhesive ileus or strangulated inguinal hernia were evaluated prospectively during the last 24 months. As probable triggering factors in ISK, the role of acute diarrhea, body motions, overeating, coughing, and labor were investigated.
RESULTS
Prior to the main clinical features of ISK, acute diarrhea (17 patients, 21.3%, p<0.05), harvesting (9 patients, 11.3%, p<0.05), and overeating (8 patients, 10.0%, p<0.05) were found effective.
CONCLUSION
Although there is not enough data on this subject in the literature, increased bowel motility, excessive body motions, and overeating appear as the triggering factors in the forming of ISK.
目的
回肠乙状结肠扭结（ISK）是一种罕见的双袢肠梗阻形式。因此，其包括触发因素在内的病理生理学尚未得到充分研究。我们旨在探讨ISK的病理生理学，尤其是触发因素。
方法
回顾性分析1986年6月前80例ISK患者的数据，此后进行前瞻性分析。作为对照组，对过去24个月内80例因粘连性肠梗阻或绞窄性腹股沟疝引起肠梗阻的患者数据进行前瞻性评估。研究急性腹泻、身体运动、暴饮暴食、咳嗽和分娩作为ISK可能触发因素的作用。
结果
在ISK的主要临床特征出现之前，发现急性腹泻（17例，21.3%，p<0.05）、收割（9例，11.3%，p<0.05）和暴饮暴食（8例，10.0%，p<0.05）有影响。
结论
尽管文献中关于该主题的数据不足，但肠动力增加、过度身体运动和暴饮暴食似乎是ISK形成的触发因素。
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