胃軸捻症87例の解析と胃軸捻転様式に関する実験的研究

概要

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In the field of pediatric surgery, there are many children whose chief complaint is vomiting. Upper gastrointestinography constitutes an useful exploratory approach to detect the cause of vomiting. In this report, we analyzed clinical data on 87 cases of obvious vomiting and abdominal swelling, which have been diagnosed as gastric volvulus (GV) by upper gastrointestinography. We also examined the axis of GV in experimental monkeys. The results obtained are as folows : (1)Organoaxial volvulus is an indispensable factor for typical GV. (2)Newborns and infants presenting vomiting and abdominal swelling should be examined using abdominal plain X-P and gastrography, to check for GV. (3)Diaphragmatic eventration and esophageal hiatal hernia may be complicated by the GV necessitation sufficient observation and appropriate treatment. (4)Hypertrophic pyrolic stenosis, gastroesophagial reflux and intestinal malrotation may also be complicated by the GV, which should, therefore, be considered in the diagnosis of patients with continual vomiting. (5)Surgical corrections is preferable in secondary GV. In idiopathic GV, however, conservative therapy is selected first, and surgical correction, gastropexy, is preferable when conservative therapy has proved not to be effective.
日本小児外科学会の論文
1991-04-20