一种治疗肠道旋转不良的新技术。

I Ibarra Rodríguez, G M Gavilanes Salazar, I Ruiz Jiménez, A Sáenz Dorado, M R Chamorro Juárez, F J Bueno Recio
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引用次数: 0

摘要

引言:肠旋转不良是一种先天性疾病,具有潜在的灾难性并发症,如肠扭转,其治疗方法在近100年来几乎没有改变(拉德手术)。Abu Elmagd医生最近介绍了一种应用于我们一名患者的新技术。临床病例:12岁男孩,2天大时因旋转不良继发肠扭转而接受拉德氏手术。他的咬合不全,最终出现梗阻,肠扭转成像兼容。术中表现:十二指肠咬合不全、扭转和淋巴管扩张。Kareem手术:肠道正常旋转定位,十二指肠固定术(肠系膜血管后的十二指肠C),形成新Treitz,固定盲肠、升结肠和肠系膜根。患者于术后第6天出院,随访1年后仍无症状。讨论:Kareem手术是一种安全有效的旋转不良修复技术。它可以取代Ladd的手术,因为它降低了再次排卵的风险,并改善了消化系统症状。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A new technique in the treatment of intestinal malrotation.

Introduction: Intestinal malrotation is a congenital pathology with potentially catastrophic complications, such as volvulus, whose treatment has barely not changed in nearly 100 years (Ladd's procedure). Dr. Abu-Elmagd recently described a new technique that was applied in one of our patients.

Clinical case: 12-year-old boy who had undergone Ladd's procedure as a result of intestinal volvulus secondary to malrotation when he was 2 days old. He had subocclusion and eventually obstruction, with intestinal volvulus compatible imaging. Intraoperative findings: duodenal subocclusion, volvulus and lymphangiectasias. Kareem's procedure: bowel positioning in normal rotation, duodenopexy (duodenal C posterior to the mesenteric vessels), formation of neo-Treitz, and fixation of the cecum, the ascending colon, and the mesenteric root. The patient was discharged on postoperative day 6 and remains asymptomatic after 1 year of follow-up.

Discussion: Kareem's procedure is a safe and effective malrotation repair technique. It can replace Ladd's procedure as it reduces the risk of re-volvulation and improves digestive symptoms.

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