Ileosigmoid knot.
Ileosigmoid knot.
复制标题
回肠乙状结肠结。
DOI：
10.1001/archsurg.1980.01380060059017
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发表时间：
1980
影响因子：
--
通讯作者：
W. Whitehead
中科院分区：
文献类型：
--
作者：
K. Versteeg;W. Whitehead
The ileosigmoid knot (ISK) is a variant of midgut volvulus in which a loop of ileum wraps around the base of an elongated sigmoid colon and passes beneath itself forming a knot. A long small bowel mesentery and a sigmoid colon on a narrow pedicle are necessary prerequisites, but the wide variation in incidence of ISK across the world seems to be related to dietary habits. Rapid fluid resuscitation, preoperative broad-spectrum antibiotics, methylprednisolone in the presence of shock, and immediate laparotomy may improve the high mortality.
