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先天性十二指肠隔膜合并异位胰腺:病例报告及文献复习

Congenital duodenal diaphragm with heterotopic pancreas: a case report and literature review.

作者信息

Song Jinghui, Li Suolin, Xu Weili, Sun Chi, Fang Yanbin, Gao Bingzheng, Li Meng

机构信息

Department of Paediatric Surgery, The Second Hospital of Hebei Medical University, Shijiazhuang, China.

出版信息

Front Pediatr. 2025 May 15;13:1590865. doi: 10.3389/fped.2025.1590865. eCollection 2025.

DOI:10.3389/fped.2025.1590865
PMID:40443575
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12121369/
Abstract

This case report presents a laparoscopic surgery performed at The Second Hospital of Hebei Medical University for a patient with congenital duodenal diaphragm complicated by heterotopic pancreas (HP). The utilization of indocyanine green (ICG) molecular fluorescent imaging technology and the suspension traction method for duodenal obstruction points during the procedure demonstrates the potential for reducing operational complexity and enhancing surgical success rates. Postoperative feeding via a nasojejunal tube is shown to facilitate rapid restoration of enteral nutrition, mitigate postoperative complications, and decrease the duration of hospitalization.

摘要

本病例报告介绍了河北医科大学第二医院为一名患有先天性十二指肠隔膜并伴有异位胰腺(HP)的患者实施的腹腔镜手术。术中使用吲哚菁绿(ICG)分子荧光成像技术以及针对十二指肠梗阻点的悬吊牵引方法,显示出降低手术复杂性和提高手术成功率的潜力。术后经鼻空肠管喂养有助于肠内营养的快速恢复,减轻术后并发症,并缩短住院时间。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/38ef/12121369/da7744f019d2/fped-13-1590865-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/38ef/12121369/aa98eb635033/fped-13-1590865-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/38ef/12121369/548b92c0a0a2/fped-13-1590865-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/38ef/12121369/da7744f019d2/fped-13-1590865-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/38ef/12121369/aa98eb635033/fped-13-1590865-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/38ef/12121369/548b92c0a0a2/fped-13-1590865-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/38ef/12121369/da7744f019d2/fped-13-1590865-g003.jpg

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本文引用的文献

1
Laparoscopic Versus Conventional Open Congenital Duodenal Obstruction Repair: A Systematic Review and Meta-analysis.腹腔镜与传统开放性先天性十二指肠梗阻修复术:系统评价与荟萃分析
J Pediatr Surg. 2025 Jan;60(1):161933. doi: 10.1016/j.jpedsurg.2024.161933. Epub 2024 Sep 14.
2
Clinical features and treatment of heterotopic pancreas in children: a multi-center retrospective study.儿童异位胰腺的临床特征和治疗:一项多中心回顾性研究。
Pediatr Surg Int. 2024 May 29;40(1):141. doi: 10.1007/s00383-024-05722-z.
3
Congenital duodenal obstruction repair with and without transanastomotic tube feeding: a systematic review and meta-analysis.
先天性十二指肠梗阻修复术联合与不联合经吻合口置管喂养的效果:系统评价和荟萃分析。
Arch Dis Child Fetal Neonatal Ed. 2024 Feb 19;109(2):182-188. doi: 10.1136/archdischild-2023-325988.
4
Intussusception Caused by Heterotopic Pancreas: A Tunisian Case Series of 5 Pediatric Patients.由异位胰腺引起的肠套叠:5 例儿科患者的突尼斯病例系列。
Arch Iran Med. 2022 Dec 1;25(12):844-846. doi: 10.34172/aim.2022.131.
5
Factors associated with outcomes in congenital duodenal obstruction: population-based study.先天性十二指肠梗阻预后的相关因素:基于人群的研究
Br J Surg. 2023 Aug 11;110(9):1053-1056. doi: 10.1093/bjs/znad040.
6
Clinical classification of symptomatic heterotopic pancreas of the stomach and duodenum: A case series and systematic literature review.胃和十二指肠症状性异位胰腺的临床分类:病例系列和系统文献复习。
World J Gastroenterol. 2022 Apr 14;28(14):1455-1478. doi: 10.3748/wjg.v28.i14.1455.
7
Gastrointestinal: Gastric heterotopic pancreas has potential of malignancy requiring appropriate resection.胃肠道:胃异位胰腺有恶变可能,需进行适当切除。
J Gastroenterol Hepatol. 2022 Dec;37(12):2205. doi: 10.1111/jgh.15842. Epub 2022 Apr 20.
8
Congenital duodenal obstruction - Advances in diagnosis, surgical management, and associated controversies.先天性十二指肠梗阻——诊断、手术处理及相关争议的进展。
Semin Pediatr Surg. 2022 Feb;31(1):151140. doi: 10.1016/j.sempedsurg.2022.151140. Epub 2022 Feb 18.
9
Gastric-tube versus post-pyloric feeding in critical patients: a systematic review and meta-analysis of pulmonary aspiration- and nutrition-related outcomes.胃管喂养与幽门后喂养在危重症患者中的比较:一项关于肺吸入和营养相关结局的系统评价和荟萃分析。
Eur J Clin Nutr. 2021 Sep;75(9):1337-1348. doi: 10.1038/s41430-021-00860-2. Epub 2021 Feb 3.
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