Saccular extended obstruction is generated when the anastomotic site of functional end-to-end anastomosis is extended saccularly and blocked by intestinal contents. This is a specific complication of functional end-to...Saccular extended obstruction is generated when the anastomotic site of functional end-to-end anastomosis is extended saccularly and blocked by intestinal contents. This is a specific complication of functional end-to-end anastomosis. Saccular extended obstruction of the anastomotic site of func-tional end-to-end anastomosis causes postoperative intestinal obstruction. Saccular extended obstruction places a heavy burden on patients because surgery is necessary for treatment of intestinal obstruction due to saccular extended obstruction. However, saccular extended obstruction is not a commonly recognized complication. The greatest factor contributing to the development of saccular extended obstruction is an acute angle between the portions of the intestinal tract oral and aboral to the anastomotic site. When this angle approaches obtuse angle, preferably close to a straight line, stagnation of the intestinal contents does not occur at the anastomotic site of functional end-to-end anastomosis and saccular extended obstruction is avoided. For making the angle of anastomotic intestinal tracts obtuse or straight, it may be effective that the entry hole of stapling suture instrument creating the anastomotic stoma is closed perpendicular to the intestinal axis.展开更多
Intussusception is a common cause of mechanical bowel obstruction among children,with older children being more likely to have a pathological lead point.Intestinal neoplasms are rare and small intestinal lipomas are e...Intussusception is a common cause of mechanical bowel obstruction among children,with older children being more likely to have a pathological lead point.Intestinal neoplasms are rare and small intestinal lipomas are even less common.Herein we describe a case of a 7-year-old boy with ileoileal intussusception,with an ileal lipoma as the pathological lead point.Computed tomography was useful pre-operatively for revealing intussusception due to lipoma as the pathologic lead point.展开更多
文摘Saccular extended obstruction is generated when the anastomotic site of functional end-to-end anastomosis is extended saccularly and blocked by intestinal contents. This is a specific complication of functional end-to-end anastomosis. Saccular extended obstruction of the anastomotic site of func-tional end-to-end anastomosis causes postoperative intestinal obstruction. Saccular extended obstruction places a heavy burden on patients because surgery is necessary for treatment of intestinal obstruction due to saccular extended obstruction. However, saccular extended obstruction is not a commonly recognized complication. The greatest factor contributing to the development of saccular extended obstruction is an acute angle between the portions of the intestinal tract oral and aboral to the anastomotic site. When this angle approaches obtuse angle, preferably close to a straight line, stagnation of the intestinal contents does not occur at the anastomotic site of functional end-to-end anastomosis and saccular extended obstruction is avoided. For making the angle of anastomotic intestinal tracts obtuse or straight, it may be effective that the entry hole of stapling suture instrument creating the anastomotic stoma is closed perpendicular to the intestinal axis.
文摘Intussusception is a common cause of mechanical bowel obstruction among children,with older children being more likely to have a pathological lead point.Intestinal neoplasms are rare and small intestinal lipomas are even less common.Herein we describe a case of a 7-year-old boy with ileoileal intussusception,with an ileal lipoma as the pathological lead point.Computed tomography was useful pre-operatively for revealing intussusception due to lipoma as the pathologic lead point.
