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在Roux-en-Y胃切除术后,为胃腺癌而发生的 Jejunojejunal Intussusception
Vinayak Vishnupant Kshirsagar1, Sharanka Sultania
1Department of General Surgery, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth, Pune, Maharashtra, India.
Annals of African medicine
|March 2, 2026
概括
在Roux-en-Y胃切除术后发生的罕见并发症Jejeunojejunal intussusception可能会在几年后发生. 早期诊断和手术干预对于这些延迟呈现的良好结果至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
- 腹部外科手术 腹部外科手术
背景情况:
- 杰内内肠是Roux-en-Y胃切除术后的一种罕见并发症,发生率为0.4%-0.64%.
- 由于术后运动性障碍,它通常发生在节节位,通常是逆向的.
- 手术多年后的延迟呈现可能会带来诊断挑战.
研究的目的:
- 在胃切除术后6年出现的延迟内内的病例报告.
- 突出临床怀疑和及时诊断在胃切除术后患有急性腹部疾病的患者的重要性.
主要方法:
- 一个81岁的男性6年后胃切除术的病例报告与Roux-en-Y重建.
- 通过对比增强计算机断层扫描 (CT) 和诊断性腹腔镜检查证实了诊断.
- 手术干预涉及由于癌变变化的开放切除和重建.
主要成果:
- 患者出现了急性,严重的腹痛,吐和膨胀.
- 扫描显示了"肠内肠"的配置,表明了肠内和远端缺血症.
- 成功的手术切除和重建导致了无故障的术后恢复.
结论:
- 应考虑在胃切除术后患有急性腹部的患者中,即使在手术后几年内,也应考虑Jejunojejunal intussusception.
- 早期成像和及时诊断对于预防发病至关重要.
- 个性化手术干预是实现良好结果的关键.
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