Chappell J S
S Afr Med J. 1977 Dec 24;52(27):1093-4.
Six patients with meconium ileus, in whom bowel resection and end-to-end anastomosis were performed, are presented. Meconium ileus may be simple or complicated. The simple form may be treated by Gastrografin enema. Surgery is indicated if conservative treatment fails and for patients with a complicated obstruction. Provided the bowel is disobstructed and carefully resected, end-to-end anastomosis is preferable. Confirmation of the diagnosis by careful histological examination of the resected bowel is urged.
本文报告6例接受肠切除及端端吻合术的胎粪性肠梗阻患者。胎粪性肠梗阻可分为单纯型或复杂型。单纯型可采用泛影葡胺灌肠治疗。若保守治疗失败或患者存在复杂梗阻，则需进行手术。只要肠道通畅且仔细切除，端端吻合术是首选。强烈建议通过对切除肠段进行仔细的组织学检查来确诊。
