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題 名 | Carcinoma of Gastric Stump Complicating Afferent Loop Obstruction and Perforation Simulating Acute Pancreatitis=以急性胰臟炎來表現的殘胃癌引發之輸入環症候群 |
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作 者 | 劉家彣; 詹毓哲; 朱振國; 張群岳; 王立敏; | 書刊名 | 臺灣急診醫學會醫誌 |
卷 期 | 9:2 2007.06[民96.06] |
頁 次 | 頁56-59 |
分類號 | 415.542 |
關鍵詞 | 輸入環症候群; 殘胃癌; 部份胃切除術; 胃空腸吻合術; 急性胰臟炎; Afferent loop syndrome; Gastric stump cancer; Partial gastrectomy; Billroth anastomosis; Acute pancreatitis; |
語 文 | 英文(English) |
中文摘要 | 輸入環症候群是罕見切除術後胃吻合術之併發症。在急診室易因診斷為單純急性胰臟炎,而忽略了緊急手術的需要。我們報告一例輸入環症候群於接口處胃側因殘胃癌造成阻塞,並有穿孔與腹膜炎。病人於20年前因消化性潰瘍接受部份胃切除併胃空腸吻合術。輸入環症候群的症狀、機轉、造成急性胰臟炎機轉與殘胃癌問題將討論之。 |
英文摘要 | Afferent loop syndrome is an uncommon complication of gastroenterostomy reconstruction after gastrectomy and is easily mistaken for simple acute pancreatitis without urgent surgical indication. We report a case of gastric stump carcinoma complicating afferent loop syndrome and perforation who presented to the Emergency Department with acute pancreatitis. The patient had received partial gastrectomy with Billroth-Ⅱ anastomosis 20 years ago for peptic ulcer. The etiologies of afferent loop syndrome, pathogenesis of acute pancreatitis and the problem of gastric stump carcinoma are discussed. |
本系統中英文摘要資訊取自各篇刊載內容。