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新生儿坏死性小肠结肠炎经回肠造瘘术后远端肠闭锁7例

潘登 王献良 邵雷朋

临床小儿外科杂志2016,Vol.15Issue(5):513-515,3.
临床小儿外科杂志2016,Vol.15Issue(5):513-515,3.DOI:10.3969/j.issn.1671-6353.2016.05.028

新生儿坏死性小肠结肠炎经回肠造瘘术后远端肠闭锁7例

Management of acquired intestinal atresia after ileostomy due to necrotizing enterocolitis:a retrospec-tive study of 7 cases

潘登 1王献良 1邵雷朋1

作者信息

  • 1. 郑州市儿童医院新生儿外科河南省郑州市,450018
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摘要

Abstract

Objetive To explore the clinical features and treatment experiences of children with ac-quired intestinal atresia after ileostomy due to necrotizing enterocolitis (NEC). Methods The clinical data were retrospectively analyzed for 7 surgical cases with acquired intestinal atresia after ileostomy.The primary cause was necrotizing enterocolitis.There were no obvious symptoms.Gastrointestinal contrast study revealed colonic obstruction before closure of ileostomy.Atresia was present in ileum and colon.Two patients had multi-ple atresia.Results All patients were cured surgically.One case had intermittent hematochezia at 3 months after surgery and gastrointestinal contrast study indicated stenosis of anastomotic stoma.No other symptoms oc-curred during follow-ups. Conclusions Stricture develops easily in patients after NEC.Acquired intestinal atresia after ileostomy should be kept in mind.Inflammation may be one of main reasons.

关键词

小肠结肠炎,坏死性/回肠造口术/肠闭锁/婴儿,新生

Key words

Enterocolitis,Necrotizing/Ileostomy/Intestinal Atresia/Infant,Newborn

引用本文复制引用

潘登,王献良,邵雷朋..新生儿坏死性小肠结肠炎经回肠造瘘术后远端肠闭锁7例[J].临床小儿外科杂志,2016,15(5):513-515,3.

临床小儿外科杂志

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1671-6353

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