Kralovich K A, Sacksner J, Karmy-Jones R A, Eggenberger J C
Division of Trauma and Critical Care, Henry Ford Hospital, Detroit, Michigan 48202, USA.
Dis Colon Rectum. 1997 May;40(5):622-4. doi: 10.1007/BF02055391.
Presented is what is believed to be the first reported case of a defunctionalized limb of small intestine serving as a reservoir for Clostridium difficile. Because of the altered intestinal continuity, the ensuing enteritis and colitis failed to respond to nonoperative management. Current treatment strategies are reviewed. Surgical intervention, including restoration of normal gastrointestinal continuity, should be considered early in the hospital course of this patient population.
本文报道了首例被认为是功能失调的小肠肢体充当艰难梭菌储存库的病例。由于肠道连续性改变，随之而来的小肠炎和结肠炎对非手术治疗无反应。本文回顾了当前的治疗策略。对于这类患者，应在病程早期考虑手术干预，包括恢复正常的胃肠道连续性。
