逆侧结肠绕道用于可吸收的食道胃口腔静脉阻塞术后的Ivor-Lewis食道切除术
Georgi Yankov1, Magdalena Alexieva1, Zaharinka Makshutova1
1Thoracic Surgery Department, University Hospital St. Ivan Rilski, Medical University of Sofia, Sofia, BGR.
Cureus
|September 23, 2024
概括
胃食管缩的吸收性狭窄是因食道腐蚀性烧伤而经过艾佛-路易斯食道切除术后的一种罕见并发症. 用结肠绕道进行手术重建和Roux-en-Y阴重建,用于持续性消化不良.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
- 消化系统手术 消化系统手术
背景情况:
- 食道腐蚀性烧伤可能导致严重的消化不良.
- 在食管胃解剖处的吸收性狭窄是艾佛-易斯食管切除术后的罕见但严重的并发症.
- 之前的扩张尝试可能对这种狭窄无效.
研究的目的:
- 为了呈现一种罕见的难以治愈的食道胃异位狭窄的病例,在食道切除术后进行腐蚀性烧伤.
- 描述这种罕见并发症的手术治疗方法.
主要方法:
- 一个28岁的男性患者的病例报告.
- 对手术程序的审查,包括艾佛-易斯食管切除术,鲁克斯-en-Y新食管关节重建和后侧结肠旁路术.
- 用布劳恩解剖术进行双肠静脉切除的描述.
主要成果:
- 患者经历了难以治愈的消化不良,这是由于尽管布吉扩张,但由于静脉狭窄而导致的.
- 成功的手术重建是通过后侧结肠插入和Roux-en-Y阴重建实现的.
- 作为重建的一部分,进行了布劳恩解体的双肠静脉切除术.
结论:
- 通过结肠绕道和骨重建进行手术重建是治疗难以治疗的食道胃解狭窄症后食道切除术的可行选择.
- 这一案例突出了极其罕见的并发症及其成功的手术解决方案.
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