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[腐蚀性食管胃狭窄行胃窦切除及胃造口术后的空肠套叠]

[Jejunal invagination after antrectomy and gastrostomy in postcaustic esophagogastric stenoses].

作者信息

Popovici Z

出版信息

Rev Chir Oncol Radiol O R L Oftalmol Stomatol Chir. 1982 Nov-Dec;31(6):431-5.

PMID:6220428
Abstract

The author presents 3 cases of jejunal invagination in a lot of 120 cases of post-caustic oeso-gastric stenoses that were operated. In two of the patients the invagination developed following antrectomy and in one case it occurred after gastrostomy with jejunal intubation. Invagination developed one month after surgery, and between 47 and 60 days from the ingestion of the caustic substance. In all the cases de-invagination was performed, followed by partial pleating of the mesenterium (Ghilda-Phillips). Oesophagitis, erosive gastritis, gastrostomy and prolonged jejunal intubation may explain the increased frequency of this complication (2.4% against 1.6% in patients with resections for ulcers).

摘要

作者在120例接受手术治疗的腐蚀性食管胃狭窄病例中,呈现了3例空肠套叠的情况。其中2例患者的套叠发生在胃窦切除术后,1例发生在胃造口术并进行空肠插管后。套叠在术后1个月出现,距摄入腐蚀性物质47至60天。所有病例均进行了套叠复位,随后对肠系膜进行了部分折叠(吉尔达 - 菲利普斯手术)。食管炎、糜烂性胃炎、胃造口术和长期空肠插管可能解释了这种并发症发生率的增加(2.4%,而溃疡切除术患者的发生率为1.6%)。

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