Woelfel G F, Campbell D N, Penn I, Reichen J, Warren G H
Gastroenterology. 1983 May;84(5 Pt 1):1020-4.
A case of inflammatory polyposis of the ileum after ileosigmoid anastomosis is reported. Two features are noteworthy. First, the polyps were localized in a blind ileal loop. Second, while rare ileal inflammatory polyps related to enteroenteric anastomosis have been reported, to our knowledge this is the first instance of approximately 50 polyps to be described at such a site. The etiology of these lesions is unknown but may be related to fecal irritation, stasis, bacterial overgrowth, or bacterial toxin. These polyps may ulcerate and bleed, causing iron deficiency anemia, and they must be distinguished from neoplastic polyps. Since side-to-side and end-to-side anastomoses have become more common with use of the surgical stapler, inflammatory polyps may be encountered more frequently.
本文报告了一例回肠乙状结肠吻合术后回肠炎性息肉病的病例。有两个特征值得注意。首先，息肉局限于回肠盲袢。其次，虽然已有罕见的与肠肠吻合相关的回肠炎性息肉的报道，但据我们所知，这是首次在该部位描述约50个息肉的病例。这些病变的病因尚不清楚，但可能与粪便刺激、淤滞、细菌过度生长或细菌毒素有关。这些息肉可能会发生溃疡和出血，导致缺铁性贫血，必须与肿瘤性息肉相鉴别。由于使用手术吻合器后侧侧吻合和端端吻合更为常见，炎性息肉可能会更频繁地出现。
