Jewett T C, Walker A B, Cooney D R
J Pediatr Surg. 1983 Apr;18(2):185-8. doi: 10.1016/s0022-3468(83)80550-8.
Duplication of the entire small intestine resulting in gastrointestinal hemorrhage was managed by excision of the ulcerogenic lesion, ileo-ileostomy, and diversion of the gastric-lined intestinal duplication into the stomach. A 25 yr followup study reveals no evidence of recurrent bleeding or malabsorption secondary to bind-loop syndrome. This operative procedure is worthy of consideration in patients with this congenital anomaly.
整个小肠重复畸形导致胃肠道出血,通过切除致溃疡病变、回肠-回肠吻合术以及将衬有胃黏膜的肠重复畸形转流至胃内进行处理。一项25年的随访研究显示,没有证据表明存在因盲袢综合征继发的复发性出血或吸收不良。对于患有这种先天性异常的患者,这种手术方法值得考虑。