胃切除术后空肠肠套叠进入胃肠吻合术1例

F. Akhmetzyanov, V. Egorov, A. Daminov, N. D. Sirazitdinov
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引用次数: 0

摘要

肠套叠是混合型(绞窄型和闭合型)机械性肠梗阻的一种。它是由于肠内收段进入外展段而产生的。胃十二指肠肠套叠是一种极为罕见的高度肠梗阻。它最常发生在胃手术后,在未手术的患者中很少发生。手术后不久可发生空肠肠套叠,但最常见的是,这种并发症发生在干预后515年。本文报告1例逆行性肠套叠发生于Billroth II型胃切除术合并Braun吻合术后9年。该临床病例使专家认识到在临床实践中可能遇到这种病理,并证明了在具有类似临床症状的病例中进行鉴别诊断的适当性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Clinical case of intussusception of the jejunum into gastroenteroanastomosis after gastric ­resection
Intussusception is one of the varieties of mixed (strangulation and obturation) mechanical intestinal obstruction. It arises as a result of the introduction of the adducting segment of the intestine into the abducting one. Gastroduodenal intussusception is an extremely rare type of high intestinal obstruction. It most often occurs after surgery on the stomach and much less often in non-operated patients. Intussusception of the jejunum into the stomach can occur soon after surgery, but most often, this complication occurs 515 years after the intervention. This paper describes a case of retrograde intussusception that arose 9 years after the Billroth II gastric resection with Braun anastomosis. This clinical case acquaints specialists with the possibility to encounter this pathology in clinical practice and demonstrates the appropriateness of differential diagnostics in cases with similar clinical symptoms.
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