成人和青少年患者的肠旋转不良。
Malrotation in Adult and Adolescent Patients.
机构信息
Section of Pediatric Surgery, Department of Surgery, University of Michigan Medical School, C.S. Mott Children's Hospital, 1540 E Hospital Dr, Ann Arbor, 48109, MI, US.
出版信息
J Gastrointest Surg. 2023 Nov;27(11):2557-2559. doi: 10.1007/s11605-023-05718-5. Epub 2023 May 31.
BACKGROUND
Malrotation in children presents with bilious emesis and can be life threatening. Data on adults is lacking.
METHODS
Single institution, retrospective 20-year data collection on adult (>18 years) and adolescent patients (12-18) with symptomatic malrotation. We evaluated demographics, surgical approach, hospital stay, time to feed, and type of surgeon with descriptive statistics to analyze each group.
RESULTS
Adult (n=17) and adolescent patients (n=8) primarily presented with acute abdominal pain (82% adult, 100% adolescent), and non-bilious emesis (0%), and had elective repair. CT scan was diagnostic for 82% adults and 71% adolescents. Overall, 88% had improvement in symptoms.
CONCLUSION
In this single institution series comparing adults and adolescent patients with malrotation, 88% have resolution of pain after repair, despite atypical presentations. CT scan is diagnostic and laparoscopic approach should be considered.
背景
儿童肠旋转不良表现为胆汁性呕吐，可能危及生命。成人的数据则较为缺乏。
方法
对一家机构 20 年来的成人（>18 岁）和青少年（12-18 岁）症状性肠旋转不良患者进行回顾性数据收集。我们通过描述性统计分析，评估了每个组别的人口统计学、手术方法、住院时间、喂养时间和手术医生类型。
结果
成人（n=17）和青少年（n=8）患者主要表现为急性腹痛（82%的成人，100%的青少年）和非胆汁性呕吐（0%），并进行了择期修复。CT 扫描对 82%的成人和 71%的青少年具有诊断价值。总体而言，88%的患者症状得到改善。
结论
在这项比较成人和青少年肠旋转不良患者的单机构研究中，88%的患者在修复后疼痛得到缓解，尽管表现不典型。CT 扫描具有诊断价值，应考虑腹腔镜方法。
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