论文部分内容阅读
就内镜检查的10例慢性胃扭转,结合文献复习,讨论其临床与内镜特征。慢性胃扭转男性多见,青中年居多,病程较长,呈间歇性发作,多表现为无规律性上腹疼痛、饱胀、恶心、呕吐、返酸、嗳气等。往往在胃肠道与其他病变基础上发生。X线钡餐检查有确诊价值。内镜下特征为过镜困难,胃腔形态异常,胃粘膜糜烂扭曲水肿,常可发现基础病变。慢性胃扭转以内科保守治疗为主。采用内镜治疗6例,成功复位4例,2例有基础病变其位未成功而行手术治疗。
Endoscopic examination of 10 cases of chronic gastric volvulus, combined with the literature review to discuss the clinical and endoscopic features. Chronic gastric torsion more common in men, young and middle-aged, longer duration, was intermittent seizures, and more irregular abdominal pain manifested, fullness, nausea, vomiting, back acid, belching and so on. Often in the gastrointestinal tract and other lesions on the basis of. X-ray barium meal has confirmed the value of diagnosis. Endoscopic features of over-the-mirror difficulties, gastric cavity abnormalities, gastric mucosal edema distortion, often found in the underlying lesions. Chronic gastric biweekly conservative treatment based. Endoscopic treatment of 6 cases, 4 cases of successful reduction, 2 cases of underlying lesions were not successful surgery.