Lennert K A
Chirurg. 1979 Jan;50(1):21-5.
This review describes the small intestine stasis syndrome after side-to-side anastomosis. Symptoms of intermittent abdominal pains with steatorrhea and loss of weight are caused by disturbance of passage with a rise in bacterial concentrations. Of 27 patients observed 15 had no disorders, while 12 had gastrointestinal symptoms which had been misinterpreted and given conservative treatment for a long time (3--22 years). Treatment is either by antibiotics or by excision of the lateral anastomosis followed by end-to-end anastomosis of the normal intestine. Special attention must be paid to the consequences of side-to-side anastomosis in childhood.
本综述描述了端侧吻合术后的小肠淤滞综合征。间歇性腹痛伴脂肪泻和体重减轻的症状是由肠道通过障碍和细菌浓度升高引起的。在观察的27例患者中,15例无异常,而12例有胃肠道症状,这些症状被误诊并长期接受保守治疗(3 - 22年)。治疗方法要么是使用抗生素,要么是切除侧侧吻合口,然后对正常肠段进行端端吻合。必须特别注意儿童期端侧吻合的后果。