Stepanov E A, Shumov N D, Shapkin V V, Braev A T
Khirurgiia (Mosk). 1995(4):50-3.
The work analyses the experience in examination and treatment of 31 patients with late-term complications after operations for various types of acute and chronic high congenital ileus. Five groups of children were set apart according to the character and anatomical cause of the complication. The characteristics of late-term complications, their clinical manifestations, and methods of repeated surgical interventions are given. The most difficult for treatment were complications which had developed after creation during the primary operation of gastroentero-anastomoses for an annular pancreas (5 patients) and membranous atresia of the duodenum (one patient). It is concluded that the performance of this operation is not advisable.
该研究分析了31例各类急性和慢性高位先天性肠梗阻手术后晚期并发症的检查和治疗经验。根据并发症的性质和解剖学原因将患儿分为五组。文中给出了晚期并发症的特征、临床表现以及再次手术干预的方法。最难治疗的并发症是在初次手术中因环状胰腺(5例)和十二指肠膜状闭锁(1例)行胃肠吻合术后出现的。得出的结论是,进行这种手术是不可取的。