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在十二指肠切换后的耐火性胃衰竭经过了 laparoscopic 亚总胃切除术与 Roux-en-Y 重建后的治疗
Glen B McKinney1, Rebecca A Rice2, Adolfo Z Fernandez3
1Wake Forest University School of Medicine, Winston-Salem, NC, USA.
The American surgeon
|November 16, 2023
概括
十二指肠切换 (DS) 后的胃衰竭是罕见的. 通过Roux-en-Y重建的子总胃切除术有效地治疗了对标准疗法的耐药患者,为严重病例提供了新的选择.
科学领域:
- 腹腔外科手术的结果
- 胃肠道手术并发症 胃肠道手术并发症
- 胃的手术治疗方法
背景情况:
- 胃衰是继十二指肠切换手术 (DS) 后的一种罕见并发症.
- 标准的治疗包括 prokinetic 药物和pyloromyotomy,但耐火病例的选择是有限的.
研究的目的:
- 在十二指肠切换后呈现一种耐火性胃衰竭病例.
- 为了评估子总胃切除术与Roux-en-Y重建对这种情况的疗效.
主要方法:
- 一位患有DS后持续性胃衰竭症状 (疼痛,反) 的患者,对医疗管理和脊髓瘤切除术没有反应,接受了Roux-en-Y重建的亚总胃切除术.
主要成果:
- 患者经历了亚总胃切除术和Roux-en-Y重建后,胃衰竭症状完全消失.
- 这种手术方法似乎是有效的管理严重的,耐火性胃衰竭后DS.
结论:
- 经过Roux-en-Y重建的子总胃切除术是一种可行且有效的治疗方法,用于在十二指肠切换后对标准疗法耐药的胃衰竭.
- 潜在的机制包括胆囊旁路/切除和去除受损的胃肌肉.
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