Tube Duodenostomy to Treat Large Duodenal Perforation: Our Experience and Literature Review.

IF 0.8
Mario Pacilli, Giovanna Pavone, Alberto Fersini, Piercarmine Panzera, Antonio Ambrosi, Nicola Tartaglia
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引用次数: 1

Abstract

Background: Duodenal perforation is a life-threatening condition and ideal approaches for the management of duodenal perforations are nowadays unclear, so numerous variables must be considered. Peptic ulcer disease is the most common disease determining a duodenal perforation, however, there may be other less common causes. Methods: We retrospectively analyzed all the patients who presented at our Division of General Surgery for a Duodenal Perforation, from September 2018 to December 2019. We focused on patients requiring a tube duodenostomy. Five patients were included in this study. Results: Five patients suffering from a duodenal perforation were analyzed and their data collected. All patients were treated with tube duodenostomy, pyloric exclusion and omega loop gastro-enteroanastomosis. The duodenostomy was removed four weeks after surgery. All patients suffered postsurgical complications ranging from wound infection to pneumonitis; the incidence of severe complications was greater in the older patients. We did not record any deaths four months after the operation. Conclusions: The tube duodenostomy is an old and dated procedure but simple to implement, which may require an increase in post-operative hospitalization, but which subsists as an effective and safe way to treat patients in critical conditions.

十二指肠管吻合术治疗十二指肠穿孔:我们的经验和文献回顾。
背景:十二指肠穿孔是一种危及生命的疾病,目前治疗十二指肠穿孔的理想方法尚不清楚,因此必须考虑许多变量。消化性溃疡是十二指肠穿孔最常见的原因,但也可能有其他不常见的原因。方法:回顾性分析2018年9月至2019年12月在我们普通外科就诊的所有十二指肠穿孔患者。我们关注的是需要十二指肠管切开术的病人。本研究纳入了5例患者。结果:对5例十二指肠穿孔患者进行了分析和资料收集。所有患者均行十二指肠管吻合术、幽门排斥术和欧米伽环胃肠吻合术。术后四周切除十二指肠吻合术。所有患者均出现术后并发症,从伤口感染到肺炎;严重并发症在老年患者中发生率更高。手术后4个月没有任何死亡记录。结论:管式十二指肠吻合术是一种陈旧的手术方法,操作简单,术后住院时间可能会增加,但对于危重患者是一种安全有效的治疗方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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