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題名 | Duodenal Obstruction Secondary to Phytobezoar in a Child: Surgically Removed Via Gastrotomy=植物性糞石造成十二指腸阻塞--經胃切開術取石 |
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作者 | 沈延盛; 施俊偉; 陳肇真; | 書刊名 | 中華民國外科醫學會雜誌 |
卷期 | 32:1 民88.01-02 |
頁次 | 頁28-32 |
分類號 | 417.624 |
關鍵詞 | 植物性糞石; 十二指腸; Duodenal obstruction; Gastrotomy; Phytobezoar; |
語文 | 英文(English) |
中文摘要 | 植物性糞石是由植物纖維緊密填塞造成,當十二指腸腸腔因其他因素造成內腔狹 窄時,會產生罕見的十二指腸阻塞。由於臨床症狀不特殊常造成臨床診斷延誤。成人可嘗試 經內視鏡取石,但這項治療孩童不宜嘗試。在此報告一例六歲男孩因植物性糞石造成十二指 腸阻塞經胃切開術取石的經驗,且加以討論。 |
英文摘要 | Phytobezoar is formed by tightly packed vegetable fiber and can cause duodenal obstruction in the presence of other etiology causing narrowing of the lumen of the duodenum. Diagnostic delay can occur due to nonspecific clinical manifestation. Endoscopic removal is usually done in adult but is a difficult procedure in pediatric population. Surgical removal via a gastrotomy after milking of the bezoar backward into the stomach is safe alternative to duodenotomy. |
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