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新型肠瓣的构建

Construction of a new intestinal valve.

作者信息

Blanco-Benavides R, Niño J

机构信息

Department of Surgery, Hospital de Especialidades, Centro Medico Nacional Siglo XXI, Mexico City, Mexico.

出版信息

Dis Colon Rectum. 1994 Jun;37(6):606-9. doi: 10.1007/BF02050999.

DOI:10.1007/BF02050999
PMID:8200243
Abstract

PURPOSE

A surgical technique is presented which creates an intestinal valve.

METHODS

In six dogs, the terminal ileum and the ascending colon were removed and the valve was made. The valve has been constructed in eight humans, three of them were cases of short bowel syndrome with resection of the ileocecal valve and five cases were right hemicolectomies attributable to a carcinoma of the cecum and ascending colon.

RESULTS

The dogs were observed for a period of four to six months, during which time the animals stayed healthy. In the cases of short bowel syndrome in humans, the valve reduced the number of evacuations, in the five cases of right hemicolectomies the evolution was without complications.

CONCLUSION

This surgical technique can be useful in the management of patients with morbidity by resection of the ileocecal valve.

摘要

目的

介绍一种创建肠瓣的手术技术。

方法

在6只犬身上,切除末端回肠和升结肠并制作瓣膜。该瓣膜已应用于8例人类患者,其中3例为短肠综合征且回盲瓣已切除,另外5例为因盲肠和升结肠癌症而行右半结肠切除术的患者。

结果

对犬观察了4至6个月,在此期间动物保持健康。在人类短肠综合征病例中,该瓣膜减少了排便次数,在5例右半结肠切除术病例中,病情进展无并发症。

结论

这种手术技术在因切除回盲瓣而发病的患者管理中可能有用。

相似文献

1
Construction of a new intestinal valve.新型肠瓣的构建
Dis Colon Rectum. 1994 Jun;37(6):606-9. doi: 10.1007/BF02050999.
2
Effects of an artificial intestinal valve on massive bowel resection.人工肠瓣膜对大肠大部切除的影响。
Nihon Geka Hokan. 1986 Jan 1;55(1):178-201.
3
The nipple valve as a sphincter substitute for the ileocecal valve: prevention of bacterial overgrowth in the small bowel.乳头瓣作为回盲瓣的括约肌替代物:预防小肠细菌过度生长
Surgery. 1984 Jul;96(1):42-7.
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Intestinal adaptation following massive ileocecal resection in 20-day-old weanling rats.20 日龄断奶大鼠盲肠大部切除术后的肠道适应。
J Pediatr Gastroenterol Nutr. 2010 Jan;50(1):16-21. doi: 10.1097/MPG.0b013e3181c2c2af.
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The ileocecal segment: an anti-reflux conduit for hepatic portoenterostomy.
J Pediatr Surg. 1979 Apr;14(2):169-71. doi: 10.1016/0022-3468(79)90012-5.
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The competence and bacteriologic effect of the telescoped intestinal valve after small bowel resection.小肠切除术后套叠肠瓣的功能及细菌学效应
Am Surg. 1986 Oct;52(10):555-9.
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Surgical management of short bowel syndrome by construction of an isoperistaltic intestinal valve: an experimental study in dogs.通过构建等蠕动肠瓣对短肠综合征进行手术治疗:犬类实验研究
Eur J Surg. 1999 Aug;165(8):796-800. doi: 10.1080/11024159950189618.
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Transplantation of segmental rat intestinal grafts including the ileocecal value and the ascending colon.移植包含回盲瓣和升结肠的大鼠节段性肠移植物。
Transplantation. 1994 Apr 15;57(7):997-1002.
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THE EFFECT OF ILEOCECAL VALVE REMOVAL IN A MODEL OF SHORT BOWEL SYNDROME.回盲瓣切除在短肠综合征模型中的作用
Arq Bras Cir Dig. 2019 Jan 7;32(1):e1417. doi: 10.1590/0102-672020180001e1417.
10
[Short bowel syndrome. Considerations on factors influencing the prognosis after massive intestinal resections].
Minerva Chir. 1988 Oct 31;43(20):1707-18.

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