摘要
目的探讨胰十二指肠切除术后粪石性肠梗阻及胃空肠吻合口套叠的诊断与治疗。方法回顾分析我院收治1例胰十二指肠切除术后粪石性肠梗阻伴胃空肠吻合口套叠病人的临床资料并复习相关文献。结果病人经禁饮食、静脉营养、抗感染、应用生长抑素等治疗痊愈出院。结论胰十二指肠切除术后胃空肠吻合口套叠的主要原因为逆蠕动、肠袢游离、吻合口过大,腹部CT及胃镜检查是其诊断的重要手段。急性型应尽早手术。
Objective To investigate the diagnosis and treatment of stercoral intestinal obstruction complicated by gastrojejunal anastomotic intussusception after pancreaticoduodenectomy. Methods A retrospective analysis was performed for the clinical data of 1 patient with stercoral intestinal obstruction complicated by gastrojejunal anastomotic intussusception after pancreaticoduodenectomy,and a literature review was also performed. Results The patient was cured and discharged after fasting,parenteral nutrition,anti-infective therapy,and application of somatostatin. Conclusion Gastrojejunal anastomotic intussusception after pancreaticoduodenectomy is mainly caused by retrograde peristalsis,isolated intestinal loop,and large anastomosis.Abdominal CT and gastroscopy are important methods for the diagnosis of this disease.Patients with acute disease should undergo surgery as soon as possible.
出处
《青岛大学医学院学报》
CAS
2017年第4期457-459,463,共4页
Acta Academiae Medicinae Qingdao Universitatis
关键词
肠梗阻
肠套叠
胃肠吻合术
胰十二指肠切除术
intestinal obstruction
intussusception
gastroenterostomy
pancreaticoduodenectomy
