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Symptomatic pneumatosis intestinalis(including portal venous gas) after laparoscopic total colectomy 被引量:1
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作者 Aneela Shah hazar al furajii Ronan A Cahill 《World Journal of Gastrointestinal Endoscopy》 CAS 2014年第11期564-567,共4页
The development of intramural intestinal gas may indi-cate a serious postoperative complication and thereforeany radiological indication of such "pneumatosis intes-tinalis"(PI) in an unwell patient after sur... The development of intramural intestinal gas may indi-cate a serious postoperative complication and thereforeany radiological indication of such "pneumatosis intes-tinalis"(PI) in an unwell patient after surgery shouldput the clinical team on high-alert. However immedi-ate recourse to relook laparotomy may not be alwaysnecessary and, further, in some cases may possiblyaccelerate the deterioration especially if it proves to benon-therapeutic. Careful and close clinical monitoring,as is described in this clinical report, may allow discrimi-native identification of those in whom this finding is infact transient and therefore benign and who thereforecan be successfully treated without operative re-inter-vention. We describe the presenting features and back-ground scenario of PI early after laparoscopic total col-ectomy for medically refractory, severe ulcerative colitisand detail the critical postoperative decision pivots. 展开更多
关键词 PNEUMATOSIS INTESTINALIS LAPAROSCOPIC total COLECTOMY ULCERATIVE COLITIS Severe acute COLITIS Portal venous gas
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