胃手术后输出袢肠套叠的临床研究

Diagnosis and treatment of the efferent loop intussusception after gastrojejunostomy

目的探讨胃手术后输出袢肠套叠的发病机制、诊断和治疗。方法回顾性分析15例胃手术后发生输出袢肠套叠患者的临床表现、类型、诊断和治疗方法。结果 11例为空肠-空肠套叠,4例为空肠-胃套叠,引起套叠的原因目前还不是特别明确。15例患者均行手术治疗,术后均康复出院。结论胃手术后输出袢肠套叠多无器质性病变,其发生由多个因素共同作用所致,容易误诊,诊断主要依据临床表现和辅助检查,治疗以手术为主。

Objective To explore the pathogenesis, diagnosis and treatment of the efferent loop intussusception after gastrojejunostomy. Methods The clinical manifestation,type and treatment of 15 patients with efferent loop intussusception after gastrojejunostomy were retrospectively reviewed. Results Eleven patients suffered from jejunum into jejunum after gastrojejunostomy and four patients did from jejunum into stomach after gastrojejunostomy.The cause on intussusception after gastrojejunostomy is not clear now. Fifteen patients with efferent loop intussusception after gastrojejunostomy underwent surgery and all the patients recovered. Conclusions Most patients with efferent loop intussusception after gastrojejunostomy did not have pathological factors and the occurrence of this disease rely on multiple factors and to be easily misdiagnosed. The diagnosis depends mainly on clinical manifestations and experimental examinations and operation is the ifrst choice of the treatment for the patients with efferent loop intussusception after gastrojejunostomy.