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目的:探讨小儿慢性胃扭转的类型并阐述应用胃镜复位术治疗小儿慢性胃扭转及复位方法的选择。方法:回顾性分析2002年1月～2008年12月南京医科大学附属南京儿童医院19例慢性胃扭转患儿胃镜下复位相关资料。结果:19例慢性胃扭转患儿中11例为器官轴型胃扭转,6例为系膜轴型胃扭转,2例混合型。全部患儿经胃镜下复位治疗慢性胃扭转,均获得成功,平均操作时间7.1min。除1例失访外,其余随访3个月未见复发。器官轴型胃扭转中有9例仅需单纯注气就可复位,1例完全性器官轴型胃扭转和系膜轴型、混合型胃扭转需注气+手法复位。结论:应用胃镜下胃扭转复位术治疗小儿慢性胃扭转安全、有效。
Objective: To explore the type of chronic gastritis in children and to describe the method of gastroscope in children with chronic gastritis and reduction of the choice of reset method. Methods: The data of 19 patients with chronic gastritis underwent gastroscopic resection in Nanjing Children’s Hospital affiliated to Nanjing Medical University from January 2002 to December 2008 were retrospectively analyzed. Results: Twenty-nine children with chronic gastric distress had organ axial torsion, 6 were mesangial axial gastric distraction, and 2 were mixed. All children underwent gastroscopic resection of chronic gastritis, were successful, the average operating time 7.1min. No recurrence was found except for one case of follow-up within 3 months. In 9 cases of organ axis type gastric reverse, only one simple gas injection can be reset, 1 case of complete organ axis type gastric rotation and mesangial axis type, mixed type stomach twist need gas injection + manual reduction. Conclusion: The application of endoscopic gastroscopic reverse biomechanical treatment of chronic gastritis in children is safe and effective.