新生児期の特発性胃軸捻症,特にその放射線学的追求

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The purpose of this report is to clarify the curing process and pathophysiology of idiopathic gastric volvulus in neonates.Eighteen neonates with gastric volvulus were diagnosed by UGI series. There were 11 males and 7 females. Thirteen patients were followed by X-ray study at every 3 months. Seven patients were radiologically classified as the mild and 6 as the severe group. In the mild group, vomiting disappeared in all patients within 3 months. In the severe group, vomiting disappered in 4 within 3 months and in 2 patients within 5 months. Six patients of the mild group were cured completely within 6 months radiologically. On the other hand, 3 patients of the severe group healed within 6 months, and one and two patients within 9 and 12 months respectively. This suggests that more time is needed for complete cure of gastric volvulus even after disappearance of vomiting. At diagnosis, the gastric antrum has been shown to be higher and the fundus lower than usual. The most remarkable change in healing process was gradual descent of the elevated antrum to the normal position. The cardia and pylorus did not change the position throughout the process in most patients. In healing process the axis of the volvulus changed from mesenteroaxial to organoaxial and thereafter became normal. It means that both orientations merely represent the different stage of healing process of this disease and the axis of the stomach with volvulus is fundamentally combined.
日本小児外科学会の論文
1984-08-20

新生児期の特発性胃軸捻症,特にその放射線学的追求

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