Recurrent or chronic intestinal pseudo-obstruction.
Recurrent or chronic intestinal pseudo-obstruction.
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复发性或慢性假性肠梗阻。
DOI：
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发表时间：
1981
期刊：
影响因子：
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通讯作者：
J. Christensen
中科院分区：
文献类型：
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作者：
S. Anuras;J. Christensen
复发性或慢性肠假性梗阻并不罕见。当临床医生更多地意识到这个问题时，更多的病例将被识别和诊断。除非患者有黏液水肿、甲状旁腺功能低下或嗜铬细胞瘤等可治疗的相关全身性疾病，否则大多数病例的医疗效果不理想。间歇性抗生素治疗可能需要减轻腹泻或脂肪性腹泻由于细菌过度生长在小肠。手术可能有助于缓解这些病例的症状与短节段性肠扩张。大多数患者将进行探查性剖腹探查以排除器质性梗阻病变。引流术或切除短的扩张节段。一旦诊断为慢性假性肠梗阻，必须避免重复探查手术。术前使用抗生素治疗小肠细菌过度生长，可减少脓毒性小肠内容物污染腹膜引起的术后腹膜炎。
Recurrent or chronic intestinal pseudo-obstruction is not a rare problem. More cases will be recognized and diagnosed when clinicians are more aware of this problem. Medical treatment is unsatisfactory in most cases unless the patients have such treatable associated systemic diseases as myxoedema, hypoparathyroidism or phaeochromocytoma. Intermittent antibiotic therapy may be needed to alleviate diarrhoea or steatorrhoea due to bacterial overgrowth in the small intestine. Surgery may help to relieve the symptoms in those cases with short segmental dilatation of the bowel. Most patients will have an exploratory laparotomy to rule out an organic obstructing lesion. Either a drainage procedure or resection of a short dilated segment should be carried out. Once the diagnosis of chronic intestinal pseudo-obstruction is made, repeated exploratory operations must be avoided. Preoperative antibiotic therapy to treat bacterial overgrowth in the small bowel will reduce postoperative peritonitis from peritoneal soiling by septic small bowel contents.