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題 名 | 慢性腹瀉的罕見原因--胃空腸結腸瘻管症:病例報告=An Uncommon Cause of Chronic Diarrhea--Gastrojejunocolic Fistula: A Case Report |
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作 者 | 邱愛珍; 王柏川; 鍾嫈嫈; 周孫衍; | 書刊名 | 臺灣家庭醫學雜誌 |
卷 期 | 11:1 2001.03[民90.03] |
頁 次 | 頁40-46 |
分類號 | 416.24 |
關鍵詞 | 慢性腹瀉; 胃空腸結腸瘻管症; Gastrojejunocolic fistula; Chronic diarrhea; Iatrogenic diarrhea; Marginal ulcer; Gastrojejunostomy; |
語 文 | 中文(Chinese) |
中文摘要 | 慢性腹瀉是基層醫療中相當常見的主訴。在眾多可能造成慢性腹瀉的原因中,醫源性腹瀉並不少見,而且往往靠著細心的病史詢問即可使我們懷疑此類病因,進而選擇適當的檢查而建立診斷。我們在此報告一例可歸屬於慢性醫源性腹瀉的少見案例--次發於胃部手術後的胃空腸結腸瘻管症。病人為59歲男性,10年前曾因消化性潰瘍出血接受過手術治療,8年前發生過邊緣性潰瘍,因最近一個多月以來腹瀉日益嚴重及體重減輕8公斤而由基層診療所轉至馬偕紀念醫院就診。理學檢查發現病患外觀消瘦、營養不良、臉色蒼白,並有下肢水腫。實驗室檢查發現有貧血、低血鉀、低白蛋白血症。經胃鏡及大腸鋇劑攝影檢查後確定診斷為胃空腸結腸瘻管症。病人因而接受外科手術治療,手術過程順利且術後恢復良好。本文的目的,希望能藉此病例提醒基層醫師,在面對慢性腹瀉的病人時,不要忽略了醫源性腹瀉的可能性,應仔細評估,安排適當的檢查,必要時給予轉介,以期能早期診斷、早期治療。除此之外,也希望能讓基層醫師對胃空腸結腸瘻管症此一少見病症多加瞭解。 |
英文摘要 | Many patients come to the family physician complain of chronic diarrhea. The possible causes of chronic diarrhea are legion. Among these, iatrogenic diarrhea is not uncommon, and a careful history-taking, as well as prudent selection of tests, will usually establish the diagnosis. We present here a case report of a gastrojejunocolic fistula following gastric surgery for benign peptic ulcer disease as an example of iatrogenic diarrhea--an uncommon cause of chronic diarrhea. A 59-year-old male had a gastric surgery for peptic ulcer bleeding 10 years ago, and developed marginal ulcer 8 years ago. One month prior to the admission, he started having diarrhea 6 to 7 times a day, and lost 8 kg of body weight within one month. The physical findings on admission revealed emaciation, undernourishment, pallor and edema. Laboratory findings included anemia, hypokalemia and hypoalbuminemia. Barium enema demonstrated a gastrojejunocolic fistula. He underwent surgical treatment, and had an uneventful postoperative course. He was discharged in good condition. The purpose of this paper is, not only to call more attention to this rare complication, but also to remind family physicians of the possibilities of iatrogenic diarrhea when dealing with patients complaining of chronic diarrhea. |
本系統中英文摘要資訊取自各篇刊載內容。