中国人群中的食物团肠梗阻
Food bolus intestinal obstruction in a Chinese population.
作者信息
Lee J F, Leow C K, Lai P B, Lau W Y
机构信息
Chinese University of Hong Kong, Department of Surgery, Prince of Wales Hospital, Shatin, Hong Kong.
出版信息
Aust N Z J Surg. 1997 Dec;67(12):866-8. doi: 10.1111/j.1445-2197.1997.tb07614.x.
BACKGROUND
The aim of the present study was to review the authors' experience of the diagnosis and management of food bolus obstruction in a Chinese population.
METHODS
During the period 1990-96, 31 patients were treated for food bolus obstruction. The records of these patients were retrospectively reviewed.
RESULTS
Eighteen patients (58%) had a history of previous gastric surgery and 13 patients (42%) had an intact gastrointestinal tract. The most common site of impaction was the terminal ileum, and a synchronous site of food bolus obstruction was present in 16% of cases. A total of 91% of the food bolus retrieved was phytobezoar. In 15 cases, the food bolus was successfully milked into the caecum. Enterotomy for removal was necessary in 12 patients, and two underwent small-bowel resection for necrosis.
CONCLUSION
Food bolus obstruction affects not only those who have had previous gastric surgery, but also a significant proportion of those with an intact gastrointestinal tract.
背景
本研究旨在回顾作者在中国人群中诊断和处理食物团块梗阻的经验。
方法
在1990年至1996年期间，31例患者接受了食物团块梗阻的治疗。对这些患者的记录进行了回顾性分析。
结果
18例患者（58%）有既往胃部手术史，13例患者（42%）胃肠道完整。最常见的嵌顿部位是回肠末端，16%的病例存在食物团块梗阻的同步部位。总共91%取出的食物团块为植物性粪石。15例中，食物团块成功挤入盲肠。12例患者需要行肠切开术取出，2例因坏死行小肠切除术。
结论
食物团块梗阻不仅影响既往有胃部手术史的患者，也影响相当比例胃肠道完整的患者。
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