慢性胃扭转临床与内镜特征  

Clinical and Endoscopic Features of Chronic Volvulus of Stomach

作　　者：夏冰[1] 易季云[1] 邓长生[1] 

机构地区：[1]湖北医科大学附属第二医院消化内科,武汉430071

出　　处：《医学新知》1997年第2期54-55,共2页New Medicine

摘　　要：就内镜检查的10例慢性胃扭转，结合文献复习，讨论其临床与内镜特征。慢性胃扭转男性多见，青中年居多，病程较长，呈间歇性发作，多表现为无规律性上腹疼痛、饱胀、恶心、呕吐、返酸、嗳气等。往往在胃肠道与其他病变基础上发生。X线钡餐检查有确诊价值。内镜下特征为过镜困难，胃腔形态异常，胃粘膜糜烂扭曲水肿，常可发现基础病变。慢性胃扭转以内科保守治疗为主。采用内镜治疗6例，成功复位4例，2例有基础病变其位未成功而行手术治疗。The present study discussed 1o cases of chronic volvulus of stomach with endoscopy cxamination and reviewed literature. Ten patients diagnosed by X ray barium examination often clinicaly presented unregular upper abdominal pain, distension, nausia and regurgitation. Endoscopic features of stomach volvulus were abnormal anatomy of gastric cavity and mucosal erosion and fold formation. Of 6cases, 4 successfully treated by endoscopy and 2 operated because of gastric ulcer and gastric carcinoma.

关 键 词：慢性 胃扭转 内镜 临床 

分 类 号：R573.9[医药卫生—消化系统]