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成人肠套叠:患病率、诊断工具及治疗

Bowel intussusception in adult: Prevalence, diagnostic tools and therapy.

作者信息

Panzera Francesco, Di Venere Beatrice, Rizzi Marina, Biscaglia Assunta, Praticò Carlos Alberto, Nasti Gennaro, Mardighian Andrea, Nunes Thiago Franchi, Inchingolo Riccardo

机构信息

Department of Endoscopy, "Madonna delle Grazie" Hospital, Matera 75100, Italy.

Department of Surgery, "Madonna delle Grazie" Hospital, Matera 75100, Italy.

出版信息

World J Methodol. 2021 May 20;11(3):81-87. doi: 10.5662/wjm.v11.i3.81.

Abstract

Intussusception is defined as invagination of one segment of the bowel into an immediately adjacent segment. The intussusception refers to the proximal segment that invaginates into the distal segment, or the intussusception (recipient segment). Intussusception, more common occur in the small bowel and rarely involve only the large bowel. In direct contrast to pediatric etiologies, adult intussusception is associated with an identifiable cause in almost all the symptomatic cases while the idiopathic causes are extremely rare. As there are many common causes of acute abdomen, intussusception should be considered when more frequent etiologies have been ruled out. In this review, we discuss the symptoms, location, etiology, characteristics, diagnostic methods and treatment strategies of this rare and enigmatic clinical entity in adult.

摘要

肠套叠被定义为一段肠管套入紧邻的肠段。肠套叠是指套入远端肠段的近端肠段,即套入部(接受段)。肠套叠更常见于小肠,很少仅累及大肠。与小儿病因截然不同的是,几乎所有有症状的成人肠套叠病例都有可识别的病因,而特发性病因极为罕见。由于急腹症有许多常见病因,在排除更常见的病因后应考虑肠套叠。在本综述中,我们讨论了这种成人罕见且神秘的临床疾病的症状、部位、病因、特点、诊断方法和治疗策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/66a5/8127421/eba563ee8886/WJM-11-81-g001.jpg

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