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頁籤選單縮合
題 名 | A Follow-up Study of Annular Pancreas in Infants and Children=小兒環狀胰之追蹤研究 |
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作 者 | 林于粲; 張美惠; 許宏遠; 賴鴻緒; 陳秋江; | 書刊名 | 中華民國小兒科醫學會雜誌 |
卷 期 | 39:2 民87.03-04 |
頁 次 | 頁89-93+129 |
分類號 | 417.6247 |
關鍵詞 | 環狀胰; 十二指腸空腸造口吻合術; 十二指腸與十二指腸吻合術; 環狀胰合併分裂胰; 胰臟炎; Annular pancreas; Duodenojejunostomy; Duodenoduodenostomy; Annular pancreas divisun; Pancreatitis; |
語 文 | 英文(English) |
中文摘要 | 我們分析從1984年至1996年接受環狀胰手術的15個兒科病人,嘔吐是最常見的 症狀,其中12個病人有包括旋轉失常(40%),內因性十二指腸狹窄(33%),唐氏症(27%), 十二指腸帶(27%)等相關畸形。病人手術時的年齡介於5小時大與8歲半之間,9個人接 受十二指腸空腸造口吻合術,1個人接受十二指腸切開術和十二指腸吻合術。腸道恢復輸通 平均所需時間為17.9天;其中十二指腸空腸造口吻合術平均需22.8天,十二指腸與十二指 腸吻合術平均需12.3天。所有病人均接受術後追蹤,其中11人長期追蹤至1997年4月, 追蹤時間長短從1年2個月至11年不等。術後存活率100%,但是其中12人發生包括膽汁 鬱滯性黃疸(53%),上消化道蠕動異常(47%),生長遲緩(40%),慢性腹瀉(33%)等併 發症。有1病人術後發生慢性復發性胰臟炎,後經證實為環狀合併分裂胰。至最後一次追蹤 時(1997年4月,當時病人年齡為1歲2個月至18歲9個月不等),仍有1人有脂肪便,3 人有吃完油性食物易腹瀉,4人有營養不良,3人有生長遲緩,3人有大便中胰蛋白脢濃度 較低的問題。總結來說,密切長期的追蹤對接受過治療的環狀胰病人是必要的,因為即使術 後初期很順利且存活率高,仍有許多在經過一段時間後會產生併發症。 |
英文摘要 | Fifteen pediatric patients undergoing surgery for annular pancreas from 1984 to 1996 were analyzed. Vomiting was the most common presenting symptom. Twelve patients (80%) had associated anomalies including malrotation (40%), intrinsic duodenal obstruction (33%), Down syndrome (27%) and duodenal bands (27%). Their ages at operation were between 5 hours and 9.5 years, with a median of 4 days. Surgical treatment included duodenojejunostomy in nine, duodenoduodenostomy in five and duodenotomy with duodenoplasty in one. The mean duration for reestablishment of bowel transit was 17.9 days, with 22.8 days for duodenojejunostomy and 12.3 days for duodenoduodenostomy. All cases received postoperative follow-up, but only 11 of them were long-term followed until April 1997, with a duration ranging from 1 year and 2 months to 11 years, with a median of 7 years and 5 months. The survival was 100%, but 12 cases (80%) developed postoperative complications including cholestatic jaundice (53%), upper gastrointestinal motility disorder (47%), failure to thrive (40%) and chronic diarrhea (33%). Annular pancreas divisum was noted in one case with chronic relapsing pancreatitis. At the end of follow-up (April 1997), when final ages ranged from 1 year and 2 months to 18 years and 9 months with a median of 7 years and 5 months, there were still problems: steatorrhea in 1, diarrhea after fatty diet in 3, malnutrition in 4, failure to thrive in 3 and lower concentration of stool trypsin in 3 cases. In conclusion, close long-term follow-up is essential for infants treated for annular pancreas because many of them can be expected to develop complications, even if the initial postoperative period is uncomplicated and survival is excellent. |
本系統中英文摘要資訊取自各篇刊載內容。