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病态肥胖患者胃分隔术中的造口破裂(影像学与内镜诊断的比较)

Stomal disruption in gastric partition in morbid obesity (comparison of radiographic and endoscopic diagnosis).

作者信息

Messmer J M, Wolper J C, Sugerman H J

出版信息

Am J Gastroenterol. 1984 Aug;79(8):603-5.

PMID:6465108
Abstract

Twenty-two patients who had gastric partition surgery for morbid obesity and subsequently developed stomal dilatation were evaluated with both upper gastrointestinal barium examinations and upper endoscopy. Both examinations were positive in eight patients. Endoscopy alone was positive in 14, but retrospective view of the upper gastrointestinal series was positive in nine of the patients. The authors stress the importance of a dedicated radiologist in performing these difficult examinations and the need for specific measurements of the stomal diameter.

摘要

22例因病态肥胖接受胃分隔手术并随后出现吻合口扩张的患者接受了上消化道钡剂检查和上消化道内镜检查。两种检查在8例患者中均为阳性。仅内镜检查阳性的有14例,但上消化道造影的回顾性检查在9例患者中为阳性。作者强调了由专业放射科医生进行这些困难检查的重要性以及对吻合口直径进行特定测量的必要性。

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