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[小肠广泛切除术后的远期结果]

[Late results after extensive resection of the small intestine].

作者信息

Bielicki D, Szumiłowicz G, Sulzyc-Bielicka V

机构信息

Kliniki Gastroenterologii Pomorskiej Ak. Med. w Szczecinie.

出版信息

Wiad Lek. 1994 Mar;47(5-6):164-7.

PMID:7941552
Abstract

In eight patients (two women and six men) aged from 31 to 80 years, extensive resection of the small intestine had been performed before many years. The most frequent causes of the operation were thrombosis and embolism of the superior mesenteric artery (three cases each). In all patients the small intestine was resected, at least partially, and in two patients also hemicolectomy with resection of Bauhin valve was performed. The most frequent complaint reported by the patients is periodical diarrhoea which becomes more intense particularly after fat consumption. Laboratory investigations and absorption tests were carried out in the patients at least one year after the operation. In all patients impaired absorption and hypoalbuminaemia were found. No significant correlation was found between the extent and time after the resection and the degree of intensity of the observed abnormalities.

摘要

8例患者(2名女性和6名男性),年龄在31岁至80岁之间,多年前已进行广泛小肠切除术。手术最常见的原因是肠系膜上动脉血栓形成和栓塞(各3例)。所有患者均至少部分切除了小肠,2例患者还进行了半结肠切除术并切除了回盲瓣。患者最常见的主诉是周期性腹泻,尤其是在摄入脂肪后会变得更加严重。术后至少一年对患者进行了实验室检查和吸收试验。所有患者均发现吸收受损和低白蛋白血症。切除范围和术后时间与观察到的异常严重程度之间未发现显著相关性。

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