Rubenstein R B, Mbawa N
Br J Surg. 1978 Sep;65(9):607-8. doi: 10.1002/bjs.1800650905.
Excluded loop syndrome may develop in patients who undergo jejuno-ileal bypass surgery with the excluded small intestine drained via an ileosigmoidostomy. A unique case of a morbidly obese male who underwent the procedure while on methadone maintenance therapy is presented. The major factor in the development of this disorder appears to be the high intraluminal pressures within the sigmoid colon which prevent adequate egress from the excluded loop. Narcotic medications tend to induce or intensify the syndrome.
旷置肠袢综合征可能发生在接受空肠回肠旁路手术且经回肠乙状结肠造口术引流旷置小肠的患者中。本文介绍了一例在接受美沙酮维持治疗期间接受该手术的病态肥胖男性的独特病例。这种疾病发生的主要因素似乎是乙状结肠内的高腔内压力，这阻止了旷置肠袢的充分排出。麻醉药物往往会诱发或加重该综合征。
