相关实验视频
Updated: Jan 8, 2026

08:49
Murine Ileocolic Bowel Resection with Primary Anastomosis
Published on: October 29, 2014
17.1K
穿孔节尾炎:一个回顾性观察性研究
Elena Desmay Hernandez1, Nibin Menacherry2, Shiva Pratap Unnenahalli Visweswaraiah3
1Internal Medicine, Royal Stoke University Hospital, Stoke-on-Trent, GBR.
Cureus
|December 22, 2025
概括
带有穿孔的Jejunal分歧炎很少见,但严重. 手术和保守治疗都显示出良好的结果,患者的稳定性和对抗生素的反应是指导的管理.
科学领域:
- 胃肠病学 胃肠病学
- 外科胃肠道外科手术
- 腹部成像 腹部成像 腹部成像
背景情况:
- 杰 diverticulitis 是一种罕见的腹部疼痛的原因,经常模仿其他条件.
- 它带有严重并发症的风险,包括穿孔.
- 对于最佳管理策略的证据有限.
研究的目的:
- 评估对节穿孔 (JDP) 的管理策略和结果.
- 为了比较JDP的手术和保守治疗方法之间的结果.
主要方法:
- 在一个单一的英国中心进行了回顾性观察研究.
- 包括12名在2012年至2025年期间被诊断患有尾分歧穿孔 (JDP) 的患者.
- 分析的数据包括人口统计,表现,成像,治疗,并发症和结果;进行了手术和保守组之间的统计比较.
主要成果:
- 十二名患者 (平均年龄71.5岁,75%男性) 通过CT确认了JDP.
- 七名患者 (58.3%) 接受了手术 (细分切除/解剖);五名 (41.7%) 接受了保守的治疗 (IV抗生素).
- 并发症率相似 (42.9%手术 vs 40.0%保守),没有观察到死亡率.
结论:
- 带有穿孔的Jejunal diverticulitis需要早期识别和CT确认.
- 无论是保守的还是手术的治疗都会产生有利的结果.
- 治疗决策应考虑临床稳定性,抗生素反应和手术适用性.
相关概念视频
Appendicitis-II: Diagnostic Studies and Management
456
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
456
Inflammatory Bowel Disease V: Surgical Management
423
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
423
Esophageal Perforation-II: Clinical Manifestations and Management
460
Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Clinical Manifestations:
460
Esophageal Perforation-I: Introduction
390
Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
390
Appendicitis-I: Introduction
2.0K
The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
2.0K
Peptic Ulcer Disease III: Clinical Manifestations and Diagnostic Studies
504
Peptic ulcer disease (PUD) presents with diverse symptoms depending on the location and severity of the ulcer. Clinical manifestations of peptic ulcer include dull pain and a burning sensation in the mid-epigastric region.
Few clinical manifestations differentiate gastric ulcers from duodenal ulcers. Distinctions in the location, timing, and pain relief are crucial for healthcare providers in differentiating between gastric and duodenal ulcers during clinical assessments.
Few clinical manifestations differentiate gastric ulcers from duodenal ulcers. Distinctions in the location, timing, and pain relief are crucial for healthcare providers in differentiating between gastric and duodenal ulcers during clinical assessments.
504

