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胆汁不良

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These diseases detected were esophageal varices, erosive gastritis, bile reflux gastritis, xanthoma, duodenitis, duodenal ulcer, small intestinal cancer, small intestinal angiodysplasia, Crohn's disease, intestinal polyp, intestinal erosion and congestion, diverticula, colon melanosis and colonic cancer.

检出了15种病变:食道静脉曲张、糜烂性胃炎、胆汁返流性胃炎、胃黄色瘤、十二指肠炎、十二指肠溃疡、小肠肿瘤、小肠血管畸形、克罗恩病、小肠单发及多发息肉、非特异性小肠炎、吸收不良综合征、小肠憩室、结肠黑病变、结肠癌。

Results The morality rate was zero and there were no cases of leakage at the pancraticojejunostomy and choledocojejunostomy. All patients were discharged from hospital 10-14 days after operation. Postoperative follow-up of long-term choronic complications showed only one patient (3.33%) suffered from chronic steatorrhea and malnutrition, the remaining 29 cases (96.67%) had a good function of digestion and normal nutrition. There were no cases of biler reflux gastric disease, retrograde infection, anastomostic ulcer of gastrojejunostomy, and dumping syndrome.

结果 本组手术死亡率为0,无胰、胆肠吻合漏发生,30例均于术后10~14天康复出院,术后远期慢性并发症随访显示,仅1例(3.33%)患慢性脂肪痢和营养不良症,余29例(96.67%)消化吸收功能正常,营养状况良好,全组无胆汁返流性胃炎、吻合口溃疡、上行性感染和倾倒综合征发生。

Malformation of digestive tract may have esophageal atresia, duodenal atresia, intestinal malrotation, no anus, etc., in addition to vomiting and aspiration there are symptoms such as discharge, in the case of obstruction higher position, the frequent vomiting, obvious abdominal distention, or abdominal distension and emptiness; obstruction below the duodenum, with bile vomit; obstruction low position, vomiting occurred late in the vomit may have stool, abdominal distension significantly.

消化道畸形可有食道闭锁、十二指肠闭锁、肠旋转不良、无肛门等情况,除呕吐和无胎粪排出等共有症状外,如梗阻位置较高,则呕吐频繁,腹胀不明显,或上腹胀而下腹空虚;梗阻在十二指肠以下的,呕吐物含胆汁;梗阻位置低的,呕吐发生较晚,呕吐物中可有粪便,腹胀明显。

Results:In this group there were respectively 8 calculi of intrahepatic duct,9 calculi of extrahepatic duct,4 stenosis of bile duct,3 duodenal papillitis,2 excess residual cystic duct and 2 stubble cholecystitis,which were managed surgically.There were respectively 1 duodenal diverticulum,10 bile back flow gastritis,5 functional dyspepsia,1 chronic pancreatitis and 1 ulcer,which were cured via expectant treatment.

结果:本组肝内胆管结石8例,肝外胆管结石9例,胆管狭窄4例,十二指肠乳头炎3例,胆囊管残留过长2例,残株胆囊炎2例,分别采用外科手术治疗;十二指肠憩室1例,胆汁返流性胃炎10例,功能性消化不良5例,慢性胰腺炎1例,溃疡病1例,采用内科保守治疗好转。

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