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慢性大麻使用者的成人肠套叠

Adult Intussusception in Chronic Marijuana Users.

作者信息

Kothadia Jiten P, Dash Anwesh, Verma Rajanshu, Kreitman Kyle, Snell Peter D, Ismail Mohammad K

机构信息

James D. Eason Transplant Institute, Methodist University Hospital, Memphis, TN, USA.

Division of Transplant Surgery, Department of Surgery, University of Tennessee Health Science Center, Memphis, TN, USA.

出版信息

Gastroenterology Res. 2022 Oct;15(5):278-283. doi: 10.14740/gr1554. Epub 2022 Oct 19.

Abstract

Intussusception is common in children, but it is rare in adults. The most common causes of adult intussusception (AI) are due to a pathological lead point with a common etiology being malignancy. Intra-luminal irritants should be considered the possible etiology of intussusception in patients without a pathological lead point. Marijuana use has increased dramatically in the United States over the last decade. With increasing public acceptance and legalization of marijuana, various adverse side effects have become more prominent. Marijuana has been shown to disrupt gastrointestinal tract motility by inhibiting cholinergic mechanisms. Here we describe four cases of AI who are chronic marijuana users. This well-referenced review gives attention to the harmful effects of marijuana, given the increasing use of marijuana and its derivatives in the United States.

摘要

肠套叠在儿童中很常见,但在成人中很少见。成人肠套叠(AI)最常见的原因是存在病理性引导点,常见病因是恶性肿瘤。对于没有病理性引导点的患者,管腔内刺激物应被视为肠套叠的可能病因。在过去十年中,美国大麻的使用急剧增加。随着公众对大麻的接受度提高和大麻合法化,各种不良副作用变得更加突出。大麻已被证明通过抑制胆碱能机制扰乱胃肠道蠕动。在此,我们描述了四例慢性大麻使用者发生AI的病例。鉴于大麻及其衍生物在美国的使用日益增加,这篇有充分参考文献的综述关注了大麻的有害影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/08fe/9635787/e893858655b4/gr-15-278-g001.jpg

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