Two Cases of Ischemic Enteritis Operated on in an Acute Phase.
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概要
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We often encounter intestinal obstruction in daily clinical scenes. Ischemic enteritis can cause the condition, though it is rare. Recently we have operated on two patients with ischemic enterits in an acute phase. This paper presents these two cases together with 48 cases reported in the Japanese literature. Both two patients were elderly men. The patient I underwent an emergency operation because inguinal ileus could not be denied on various examinations. The patient 2 underwent an emergency operation due to worsening tendency of the general condition in his clinical course. In two patients ischemic change was noted on the distal ileum and the Iwsions were resected. Ischemic enteritis presents with abdominal pain and gastrointestinal bleeding and causes intestinal obstruction. Although temporal remission is noted, it progresses to stricture to provoke recurrence of intestinal obstruction. In the acute phase, the desease lacks in characteristic findings but it can be diagnosed by CT which is most useful among imagings by entertaining the characters of the disease. In instances in which strangulation can not be denied, or in instances in which it gives adverse effects on general condition of the patient, emergency operation is required. However, it would be ideal to perform conservative therapy in acute phase followde by laparoscopic or laparoscopy-aided resection of the intestine before next onset of intestinal obstruction.
- 日本臨床外科学会の論文
日本臨床外科学会 | 論文
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