Multiple giant diverticula of the foregut causing upper gastrointestinal obstruction

Small bowel diverticulosis represents an uncommon disorder (except for Meckel diverticulum) often misdiagnosed since it causes non-specific gastroin- testinal symptoms. Most of times the diagnosis is carried out in case of related complications, such as diverticulitis, hemorrhage, perforation or obstruction. Intestinal obstruction can be caused by inflammatory stenosis due to repeated episodes of diverticulitis, volvulus, intussusception or jejunal stones. Herein we report a case of multiple jejunal diverticula causing chronic gastrointestinal obstruction.

十二指肠破裂22例临床治疗体会

目的:讨论总结十二指肠损伤的临床治疗方法及效果。方法:回顾性分析22例十二指肠破裂患者手术治疗的临床资料,采用单纯缝合及十二指肠引流术、十二指肠裂口空肠补片术、损伤肠段切除术治疗,观察其疗效。结果:治愈出院19例,伤口感染1例,腹腔感染1例,十二指肠瘘2例,多器官功能衰竭1例。结论:十二指肠损伤早期诊断、早手术及适当的术式是关键。

外伤性小肠损伤36例

目的总结外伤性小肠损伤的早期诊断和治疗方法。方法 36例外伤性小肠损伤患者均行外科手术治疗,其中单纯肠修补28例,肠部分切除吻合术8例。结果 36例全部治愈,无一例因术后并发症死亡。结论诊治外伤性小肠破裂时,应详细全面进行临床观察、检查,早期诊断,及时手术并予全身治疗可提高治疗效果,降低病死率。