尼森基部复合后的胃卷发:一个病例报告
Maria Vasconcelos1, Clara Rocha1, Frederico Afonso1
1General Surgery, Hospital Prof. Doutor Fernando Fonseca, Amadora, PRT.
Cureus
|December 26, 2025
概括
胃卷发,一种罕见的胃旋转,可能发生在尼森基底复合后,由于粘附. 迅速的手术干预对于康复至关重要,即使出现诸如败血症休克等并发症.
科学领域:
- 胃肠病学 胃肠病学
- 手术病例报告 手术病例报告
背景情况:
- 胃卷发是一种罕见的,可能危及生命的疾病,涉及异常的胃旋转.
- 它最常见地发生在间歇性或隔膜缺陷时.
- 尼森基囊复合后的胃卷发很少被报告.
研究的目的:
- 为了呈现一种因粘附而导致的尼森基底复合后的中心轴胃卷发病例.
- 要突出诊断挑战和管理策略对于这种罕见的并发症.
- 强调迅速的外科干预和术后护理的重要性.
主要方法:
- 一个53岁的女性患者的病例报告,此前曾经进行过尼森基底复合,出现了恶心和吐.
- 诊断工作包括内镜.
- 手术干预包括粘结溶解,卷积减小和胃.
主要成果:
- 经诊断出中枢轴性胃卷发症,并进行了手术纠正.
- 由于细菌转位,患者经历了手术后的败血性休克,需要接受ICU治疗.
- 在重症监护管理后,完全康复.
结论:
- 由于粘接,Nissen fundoplication 后可以发生胃卷积,独立于的复发.
- 早期诊断和手术管理对于预防严重并发症至关重要.
- 尽管得到了及时的治疗,但必须保持警,以防发生性休克等并发症.
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