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结肠间置术的放射学及其相关并发症

Radiology of colonic interposition and its associated complications.

作者信息

Christensen L R, Shapir J

出版信息

Gastrointest Radiol. 1986;11(3):233-40. doi: 10.1007/BF02035080.

DOI:10.1007/BF02035080
PMID:3743944
Abstract

A retrospective review of the medical records, pathology reports, and radiographic studies of 81 patients who had undergone colonic interposition was undertaken, with special attention to postoperative complications. Both early (within 30 days postoperatively, 81 patients) and late (later than 30 days postoperatively, 57 patients) complications were reviewed. Early findings included anastomotic narrowing (18 patients), anastomotic leak (13), aspiration (11), and ischemic necrosis of the colon (3). Late findings included aspiration (9 patients), anastomotic strictures (8), gastric stasis (6), redundancy and tortuosity of the colon (5), anastomotic ulcers (4), gastrocolic reflux (3), and gastroesophageal reflux into the residual esophagus (2).

摘要

对81例行结肠间置术患者的病历、病理报告及影像学研究进行了回顾性分析,特别关注术后并发症。对早期(术后30天内,81例患者)和晚期(术后30天以后,57例患者)并发症均进行了分析。早期发现包括吻合口狭窄(18例患者)、吻合口漏(13例)、误吸(11例)和结肠缺血坏死(3例)。晚期发现包括误吸(9例患者)、吻合口狭窄(8例)、胃潴留(6例)、结肠冗长迂曲(5例)、吻合口溃疡(4例)、胃结肠反流(3例)和胃食管反流至残余食管(2例)。

相似文献

1
Radiology of colonic interposition and its associated complications.结肠间置术的放射学及其相关并发症
Gastrointest Radiol. 1986;11(3):233-40. doi: 10.1007/BF02035080.
2
Gastric interposition following transhiatal esophagectomy: radiographic evaluation.
Gastrointest Radiol. 1985;10(1):17-24. doi: 10.1007/BF01893064.
3
Colonic interposition for oesophageal reconstruction with special reference to microvascular reinforcement of graft circulation.结肠代食管重建术,特别提及移植物循环的微血管强化
Aust N Z J Surg. 1986 Oct;56(10):767-71. doi: 10.1111/j.1445-2197.1986.tb02323.x.
4
Colonic interposition: radiographic evaluation.结肠间置术:影像学评估
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5
Factors affecting cervical anastomotic leak and stricture formation following esophagogastrectomy and gastric tube interposition.影响食管胃切除及胃管置入术后颈部吻合口漏及狭窄形成的因素。
Am J Surg. 1992 May;163(5):484-9. doi: 10.1016/0002-9610(92)90393-6.
6
Complications of colonic interposition.结肠代食管术的并发症
Cancer. 1985 Aug 1;56(3):681-90. doi: 10.1002/1097-0142(19850801)56:3<681::aid-cncr2820560341>3.0.co;2-u.
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Surgical techniques for esophageal replacement in children.儿童食管置换的手术技术
Pediatr Surg Int. 2017 May;33(5):527-550. doi: 10.1007/s00383-016-4048-1. Epub 2017 Jan 6.
8
Outcomes of Esophageal Replacement: Gastric Pull-Up and Colonic Interposition Procedures.食管替代术的结果:胃上提术和结肠间置术
Eur J Pediatr Surg. 2018 Feb;28(1):22-29. doi: 10.1055/s-0037-1607041. Epub 2017 Sep 25.
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本文引用的文献

1
Anastomotic ulcer of the colon following colonic replacement of the esophagus.食管结肠置换术后结肠吻合口溃疡
Ann Surg. 1960 Jul;152(1):10-2. doi: 10.1097/00000658-196007000-00002.
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RECONSTRUCTION OF THE ESOPHAGUS WITH LEFT COLON.
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4
Tissue reaction to barium sulfate contrast medium; histopathologic study.硫酸钡造影剂的组织反应;组织病理学研究
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Clinical studies on effect of barium in the peritoneal cavity following rupture of the colon.结肠破裂后钡剂在腹腔内作用的临床研究
Surgery. 1952 Dec;32(6):967-79.
6
Esophageal reconstruction.食管重建术。
Am J Surg. 1980 Jun;139(6):810-4. doi: 10.1016/0002-9610(80)90387-6.
7
Esophageal reconstruction for benign disease: a long-term appraisal.良性疾病的食管重建:长期评估
Am Surg. 1980 Feb;46(2):67-79.
8
Esophageal replacement in infants and children bv colon interposition.婴儿和儿童结肠代食管术
Am J Surg. 1982 Jul;144(1):29-34. doi: 10.1016/0002-9610(82)90597-9.
9
Colon interposition for benign esophageal disease: experience with 23 patients.
Ann Thorac Surg. 1984 Mar;37(3):192-6. doi: 10.1016/s0003-4975(10)60323-2.
10
Colonic interposition: radiographic evaluation.结肠间置术:影像学评估
AJR Am J Roentgenol. 1984 Apr;142(4):703-8. doi: 10.2214/ajr.142.4.703.