胃镜检查右位胃2例并文献复习  

Detection of dextrogastria by gastroscopy:Report of two cases and literature review

作　　者：王盛根[1] 杨春[1] 常春霞[1] 李兰花[1] 王利丽[1] 李文伦[1] 李宇[1] 尹方媛 

机构地区：[1]东南大学医学院附属南京同仁医院消化内科,江苏省南京市211102 [2]东南大学医学院附属南京同仁医院胃镜室,江苏省南京市211102

出　　处：《世界华人消化杂志》2016年第11期1775-1778,共4页World Chinese Journal of Digestology

摘　　要：总结右位胃胃镜检查征象的特点,对2例右位胃患者的胃镜检查进行回顾并结合文献进行分析.结果发现2例右位胃患者在常规左侧卧位下均能完成胃镜检查,但较正常胃胃镜检查更难.在胃镜征象上有一些重要特点:(1)内镜到达贲门后,见胃底位于贲门右侧;(2)胃体大弯皱襞走行方向与正常相反;(3)胃底无黏液湖而胃窦有黏液湖.其中第3个特点可作为常规体位胃镜检查时右位胃胃镜诊断的一个可靠依据.To summarize the characteristics of gastroscopic manifestations of dextrogastria,two patients with dextrogastria who underwent gastroscopy were analyzed retrospectively and a literature review was performed. The two patients underwent successful gastroscopy in the left lateral decubitus position, and the gastroscopic detection was more difficult than that for normal stomach. Several important characteristics of gastroscopic manifestations were found：（1） The gastric fundus was found on the right of the cardia when the gastroscope arrived the cardia;（2） The folds of the greater curvature run contrary to the normal direction;（3） There were lakes of mucin in the gastric antrum but not in the gastric fundus. These characteristics can be used to diagnose dextrogastria by gastroscopy.

关 键 词：胃镜检查 右位胃 黏液湖 

分 类 号：R573[医药卫生—消化系统]