Aubrespy P, Derlon S, Seriat-Gautier B, Pau C, Andrianandrasana A
J Chir (Paris). 1980 May;117(5):299-304.
Surgical sequelae from duodenal atresia treated by gastrojejunostomy or duodenojejunostomy are rarely encountered. They usually appear in the late course of gastrojejunostomies. They are related at the duodenal distension above the stenoses which constitute a poorly drained "blind-loop" usually developed from a side to side anastomosis as observed in the small bowel. The following complications, related to the duodenal pouch have been reported in the literature: peptic ulcer, duodenitis or gastritis, abdominal pain, dumping syndrom and malnutrition. One patient developed a gangrenous calculous cholecystitis at 10 years of age. 3 patients under went revision of their previous surgery because of sequelae. One had duodenal atresia above the ampulla, one had an anular pancreas: in one the duodenal atresia was at the ligament of Treitz. All patients had a revision according to our technic described in Annales de Chirurgie Infantile, consisting in: --calibration of the duodenal pouch --end to end or end to side duodeno-duodenal anastomonsis --suppression of previous anastomosis. A good result was obtained in all 3 cases.
胃空肠吻合术或十二指肠空肠吻合术治疗十二指肠闭锁的手术后遗症很少见。它们通常出现在胃空肠吻合术的后期。它们与狭窄上方的十二指肠扩张有关，狭窄构成了一个引流不畅的“盲袢”，通常由小肠中观察到的侧侧吻合发展而来。文献中报道了以下与十二指肠袋相关的并发症：消化性溃疡、十二指肠炎或胃炎、腹痛、倾倒综合征和营养不良。一名患者在10岁时发生了坏疽性结石性胆囊炎。3名患者因后遗症接受了先前手术的翻修。一名患者在壶腹上方有十二指肠闭锁，一名患者有环状胰腺，一名患者的十二指肠闭锁位于Treitz韧带处。所有患者均根据我们在《小儿外科学年鉴》中描述的技术进行了翻修，包括：——十二指肠袋的校准——端端或端侧十二指肠-十二指肠吻合术——先前吻合术的切除。所有3例均取得了良好的效果。
