Grosfeld J L, Cooney D R, Csicsko J F
Arch Surg. 1975 May;110(5):594-9. doi: 10.1001/archsurg.1975.01360110140023.
Twenty cases of intestinal obstruction in infants and children were managed by gastrointestinal tube stent plication. The mean age was 2.6 years, and ten patients were infants. Previous (often multiple) abdominal operations were performed in 18 patients with a variety of anomalies. Tube plication was used at initial operation in two neonates with malrotation. Following lysis of adhesions, a No. 12 or No. 16 tube (usually a Baker tube) was inserted by gastrostomy and advanced distally into the colon. The tube was kept in place for ten days, with caloric needs supplied by parenteral alimentation. Barium tubogram showed distal patency, and the tube was removed. Eighteen patients survived (90%), and obstruction was relieved in each instance. These observations suggest that gastrointestinal tube stent plication is a useful adjunctive procedure in carefully selected cases or recurrent adhesive intestinal obstruction in infants and children.
20例婴幼儿肠梗阻采用胃肠管支架折叠术进行治疗。平均年龄为2.6岁，其中10例为婴儿。18例患者曾因各种畸形接受过（通常是多次）腹部手术。两名患有肠旋转不良的新生儿在初次手术时采用了导管折叠术。在粘连松解后，通过胃造口插入一根12号或16号导管（通常是贝克管），并向远端推进至结肠。导管留置10天，通过肠外营养满足热量需求。钡剂导管造影显示远端通畅后，将导管拔除。18例患者存活（90%），且每次梗阻均得到缓解。这些观察结果表明，胃肠管支架折叠术在精心挑选的病例或婴幼儿复发性粘连性肠梗阻中是一种有用的辅助手术。
