Yokoyama I, Anselmo M T, Najmi J, Islami A H
Am J Gastroenterol. 1980 Apr;73(4):341-4.
A 56-year female is described who developed recurrent oxalate nephrolithiasis six years following jejunoileal by-pass surgery for morbid obesity. Subsequently a revision of the jejunoileal by-pass was performed when it was recognized that the site of the anastomosis showed segmental dilatation proximal to the anastomosis. A unique microscopic finding was true gastric gland metaplasia consisting of parietal cells and mucus neck cells in the ileal mucosa of the resected specimen.
一名56岁女性,在接受空肠回肠旁路手术治疗病态肥胖症六年后出现复发性草酸钙肾结石。随后,当认识到吻合部位在吻合口近端出现节段性扩张时,对空肠回肠旁路进行了修复。一个独特的显微镜下发现是,在切除标本的回肠黏膜中存在由壁细胞和黏液颈细胞组成的真性胃腺化生。