胃空肠吻合术后输出袢逆向胃内套叠1例报告  

Report of One Case with Output Loop Reverse Gastric Invagination after Gastrojejunostomy Anastomosis

作　　者：王凯[1] 王凯宇[1] 张富喜[1] 

机构地区：[1]北华大学附属医院,吉林吉林132011

出　　处：《北华大学学报（自然科学版）》2014年第2期233-235,共3页Journal of Beihua University（Natural Science）

摘　　要：目的探讨胃大部切除术后输出袢逆向胃内套叠的原因.方法对1例成人肠套叠患者诊治经过进行回顾性分析.结果空肠胃内套叠的原因可能是布朗氏吻合口过大;残胃与空肠顺应性蠕动在术后短期内难以完全协调;胃肠吻合口处无括约肌调节;肠管粘连.结论毕Ⅱ式胃大部切除术后存在输出袢空肠逆向套入残胃的可能性,在出现反复上腹痛症状时,应警惕输出、入袢套叠的可能.Objective To analyze the cause of output loop reverse gastric invagination after gastrojejunostomy. Method One case with adult intussusception after gastrojejunostomy were analyzed retrospectively. Results The reasons for the jejunum intussusception into stomach after the gastrojejunostomy might include the oversize of Brown anastomotic stoma, the difficulty of full coordination of the residual stomach and jejunum compliance peristalsis in the short time, the absence of sphincter control at the gastrointestinal anastomotic stoma and the intestinal adhesion. Conclusion After Billorth 11 subtotal gastrectomy, there is a possibility that the output loop jejunum can reversely intussuscept into the residual stomach. It should be alert to the possibility of intussusception of jejunum output and input loop into the stomach when a repeated epigastric pain is found after a gastrojejunostomy.

关 键 词：肠套叠 胃空肠吻合术 胃大部切除 布朗式吻合术 

分 类 号：R656.61[医药卫生—外科学]