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題 名 | Afferent Loop Syndrome Caused by a Duodenal Phytobezoar--A Case Report=Billorth-Ⅱ胃切除後引發的近端段症候群(Afferent Loop Syndrome)之病例報告 |
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作 者 | 康孝明; 趙明; 鍾元強; 張景年; 莊宗勳; | 書刊名 | 中華民國外科醫學會雜誌 |
卷 期 | 32:5 民88.09-10 |
頁 次 | 頁236-239 |
分類號 | 416.243 |
關鍵詞 | 胃切除; 近端段症候群; Billorth-Ⅱ吻合術; Afferent loop syndrome; Phytobezoar; |
語 文 | 英文(English) |
中文摘要 | 我們報告一個病例,七十六歲男性病人在大約十年前接受過次全胃切除及Billorth-II吻合術;因大的十二指腸糞石阻塞而併發進端段症候群(Afferent loop syndrome)。病人主訴上腹痛及腹脹而至本院求診,入院時白血球增多,而血清澱粉酵素,血清麩草酸轉氫基脢,血清麩丙酮轉氨基脢及血清膽紅素(總)均為升高。腹部超音波及電腦斷層掃描顯示一個大的糞石在膨大十二指腸端。病人接受剖腹手術及解決腸阻塞的問題,病人術後己出院。在過去的文獻中,十二腸的糞石併發進端段症候群的病例非常少。故提出此一病例加以討論。 |
英文摘要 | We present a case of 76 year old male patient who suffered from afferent loop syndrome due to a large duodenal phytobezoar after subtotal gastrectomy with B-II reconstruction. The patient suffered from epigastralgia, abdominal distention and non-bilious vomiting for three days before the admission. Leukocytosis and elevation of the serum GOT, GPT, total bilirubin and amylase were noted. Abdominal sonography and CT scan showed a large bezoar in the dilated duodenal loop. He underwent laparotomy to release the obstruction. In the present study, we discuss this case and review the literature related to afferent loop syndrome induced by duodenal bezoar. |
本系統中英文摘要資訊取自各篇刊載內容。