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急性胰腺炎时的结肠狭窄

Stenosis of the colon in acute pancreatitis.

作者信息

Mair W S, McMahon M J, Goligher J C

出版信息

Gut. 1976 Sep;17(9):692-5. doi: 10.1136/gut.17.9.692.

DOI:10.1136/gut.17.9.692
PMID:976809
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1411278/
Abstract

A case is described demonstrating a stricture of the colon associated with acute pancreatitis and 20 similar cases found in the literature are reviewed. The colonic stenosis may be of short duration and largely due to oedema or more chronic with deposition of fibrous tissue. Many cases have been confused with a carcinoma both radiologically and at laparotomy. It is suggested that a conservative approach be adopted initially, resection being carried out if follow-up barium examination fails to show resolution of the stenosis.

摘要

本文描述了一例与急性胰腺炎相关的结肠狭窄病例,并对文献中发现的20例类似病例进行了回顾。结肠狭窄可能病程较短,主要由水肿引起,或者更为慢性,伴有纤维组织沉积。许多病例在放射学检查和剖腹手术中都被误诊为癌症。建议最初采用保守治疗方法,如果随访钡剂检查未能显示狭窄消退,则进行切除手术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f538/1411278/1e0733295d61/gut00490-0045-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f538/1411278/1e0733295d61/gut00490-0045-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f538/1411278/1e0733295d61/gut00490-0045-a.jpg

相似文献

1
Stenosis of the colon in acute pancreatitis.急性胰腺炎时的结肠狭窄
Gut. 1976 Sep;17(9):692-5. doi: 10.1136/gut.17.9.692.
2
[Stenosis of the left angle of the colon secondary to chronic pancreatitis].[慢性胰腺炎继发左半结肠狭窄]
J Chir (Paris). 1973 May-Jun;105(5):553-60.
3
Colonic involvement in pancreatitis.胰腺炎中的结肠受累情况。
Am J Gastroenterol. 1980 Apr;73(4):357-62.
4
Stenosis of the colon due to pancreatitis and mimicking carcinoma.胰腺炎所致并酷似癌的结肠狭窄
Can J Surg. 1973 Nov;16(6):393-8.
5
Stenosis of the colon secondary to pancreatitis: report of a case.胰腺炎继发结肠狭窄:一例报告
Dis Colon Rectum. 1975 Mar;18(2):158-60. doi: 10.1007/BF02587166.
6
Stenosis of the colon in pancreatitis.胰腺炎时的结肠狭窄。
Isr J Med Sci. 1984 Nov;20(11):1073-7.
7
[Pancreatic colon stenoses].[胰腺结肠狭窄]
Fortschr Med. 1977 Apr 21;95(15):1034-6.
8
[Colonic stenosis after pancreatitis].[胰腺炎后结肠狭窄]
Schweiz Med Wochenschr. 1976 Sep 11;106(37):1243-7.
9
Acute colonic obstruction secondary to pancreatitis. A case report and review of the literature.胰腺炎继发急性结肠梗阻。一例病例报告及文献复习。
J Natl Med Assoc. 1974 Sep;66(5):372-4.
10
Case report: Endosonographic evaluation of colonic stenosis associated with chronic pancreatitis.病例报告:慢性胰腺炎相关结肠狭窄的内镜超声评估
Clin Radiol. 1998 Jul;53(7):532-4. doi: 10.1016/s0009-9260(98)80176-1.

引用本文的文献

1
Small Bowel Obstruction Secondary to Acute Pancreatitis.急性胰腺炎继发小肠梗阻
Gastroenterology Res. 2017 Feb;10(1):42-44. doi: 10.14740/gr758w. Epub 2017 Feb 21.
2
Colonic pseudo-obstruction following acute pancreatitis.急性胰腺炎后结肠假性梗阻
Ir J Med Sci. 1998 Jan-Mar;167(1):41-2. doi: 10.1007/BF02937554.
3
Idiopathic duodenal obstruction: an unappreciated complication of pancreatitis.特发性十二指肠梗阻:胰腺炎一种未被重视的并发症。

本文引用的文献

1
Acute colonic obstruction due to pancreatitis.胰腺炎所致急性结肠梗阻
Lancet. 1952 Jul 26;2(6726):168-9. doi: 10.1016/s0140-6736(52)91696-6.
2
Obstruction near hepatic flexure in pancreatitis. A rarely reported sign.胰腺炎时肝曲附近梗阻。一种罕有报道的体征。
JAMA. 1961 May 6;176:451-2. doi: 10.1001/jama.1961.63040180011016c.
3
Simulation of colonic obstruction at the splenic flexure by pancreatitis: roentgen features.胰腺炎所致脾曲结肠梗阻的模拟:X线特征
Ann Surg. 1981 May;193(5):638-48. doi: 10.1097/00000658-198105000-00015.
4
Stenosis of the colon following acute pancreatitis.急性胰腺炎后结肠狭窄
Postgrad Med J. 1982 May;58(679):293-6. doi: 10.1136/pgmj.58.679.293.
5
Closed loop large bowel obstruction secondary to pancreatitis.胰腺炎继发的闭环性大肠梗阻
J R Soc Med. 1990 Aug;83(8):530-1. doi: 10.1177/014107689008300820.
Am J Roentgenol Radium Ther Nucl Med. 1957 Oct;78(4):607-16.
4
Acute necrosis of the pancreas (acute haemorrhagic pancreatitis) causing and presenting as an acute colonic obstruction.胰腺急性坏死(急性出血性胰腺炎)导致并表现为急性结肠梗阻。
Med J Aust. 1953 Jan 31;1(5):147-9.
5
Acute pancreatitis affecting the transverse colon. Report of a case.急性胰腺炎累及横结肠。病例报告。
Am J Dig Dis. 1967 Jul;12(7):734-6. doi: 10.1007/BF02238283.
6
Ischaemic colitis.缺血性结肠炎
Gut. 1966 Feb;7(1):1-15. doi: 10.1136/gut.7.1.1.
7
Stenosing lesions of the colon secondary to pancreatitis.胰腺炎继发的结肠狭窄性病变。
Arch Surg. 1971 Mar;102(3):229-31. doi: 10.1001/archsurg.1971.01350030067022.
8
Lesions of the colon following acute pancreatitis.急性胰腺炎后的结肠病变。
Scand J Gastroenterol. 1972;7(4):375-8. doi: 10.3109/00365527209180757.
9
Etiology of strictures of the colon associated with pancreatitis.与胰腺炎相关的结肠狭窄的病因学。
Am J Dig Dis. 1975 Oct;20(10):941-6. doi: 10.1007/BF01070880.
10
Stenosis of the colon secondary to pancreatitis: report of a case.胰腺炎继发结肠狭窄:一例报告
Dis Colon Rectum. 1975 Mar;18(2):158-60. doi: 10.1007/BF02587166.