目的 提高對幼年性息肉致小腸套疊的診治水平。
方法 按檢索策略,檢索PubMed、中國生物醫(yī)學文獻數(shù)據(jù)庫(CBM)、中文科技期刊全文數(shù)據(jù)庫(CSJD)、中國期刊全文數(shù)據(jù)庫(CJFD)及CNKI數(shù)字圖書館的相關文獻,并結合筆者所在醫(yī)院于2011年收治的1例幼年性息肉致小腸套疊病例資料,對該病進行一系統(tǒng)的描述。
結果 共檢出相關文獻65篇,按納入及排除標準,最后納入6篇文獻。共7例患者,臨床表現(xiàn)為腹痛、嘔吐5例,便血2例,貧血3例;經超聲檢查診斷4例;全組均行小腸切除腸吻合術,其中1例為腹腔鏡輔助手術;有1例患者共實施了3次手術,最后死于惡液質,其余患者恢復較好。
結論 幼年性息肉致小腸套疊為臨床罕見疾病,超聲檢查仍為首選診斷方法;提高醫(yī)師對該病的認識,術中徹底探查腸道,必要時術中行快速冰凍切片病理學檢查,有望減少息肉遺留,改善患者的預后。
引用本文: 劉坤,林斌,汪啟樂. 幼年性息肉致小腸套疊的系統(tǒng)文獻復習. 中國普外基礎與臨床雜志, 2012, 19(12): 1341-1343. doi: 復制
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1. | Sachatello CR, Hahn IS, Carrington CB. Juvenile gastrointestinalpolyposis in a female infant:report of a case and review of the literature of a recently recognized syndrome[J]. Surgery, 1974, 75(1):107-114. |
2. | Zimmermann H, Stauch G, Kamran D. Juvenile polyp in the small bowel (author’s transl)[J]. Z Kinderchir, 1981, 33(1):89-93. |
3. | Sah SP, Agrawal CS, Jha PC, et al. Juvenile polyps in the small intestine presenting as jejunojejunal intussusception in a 10-year-oldchild:report of a case[J]. Surg Today, 2002, 32(9):828-830. |
4. | 劉仕琪, 牛建華, 史生偉, 等. 小腸幼年性息肉致腸套疊1例報道[J]. 臨床和實驗醫(yī)學雜志, 2008, 7(3):176. |
5. | 孫茂, 周輝. 幼年性息肉致小兒空腸套疊1例分析[J]. 中國誤診學雜志, 2009, 9(31):7790. |
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7. | McColl I, Busxey HJ, Veale AM, et al. Juvenile polyposis coli[J]. Proc R Soc Med, 1964, 57(10):896-897. |
8. | Desai DC, Neale KF, Talbot IC, et al. Juvenile polyposis[J]. Br J Surg, 1995, 82(1):14-17. |
9. | Adolph VR, Bernabe K. Polyps in children[J]. Clin Colon Rectal Surg, 2008, 21(4):280-285. |
10. | Postgate AJ, Will OC, Fraser CH, et al. Capsule endoscopy for the small bowel in juvenile polyposis syndrome:a caseseries[J]. Endoscopy, 2009, 41(11):1001-1004. |
11. | Guilhon de Araujo Sant’Anna AM;Dubois J, Miron MC, et al. Wireless capsule endoscopy for obscure small-bowel disorders:final results of the first pediatric controlled trial[J]. Clin Gastroenterol Hepatol, 2005, 3(3):264-270. |
12. | de’ Angelis GL, Fornaroli F, de’ Angelis N, et al. Wireless capsule endoscopy for pediatric small-bowel diseases[J]. Am J Gastroenterol, 2007, 102(8):1749-1757. |
13. | Parra DA, Navarro OM. Sonographic diagnosis of intestinalpolyps in children[J]. Pediatr Radiol, 2008, 38(6):680-684. |
14. | 王石林, 顧國利, 魏學明, 等. Peutz-Jeghers 綜合征臨床綜合治療模式初探 (附 71 例報道)[J] . 中國普外基礎與臨床雜志, 2012, 19(5):502-506. |
15. | de Ridder L, van Lingen AV, Taminiau JA, et al. Rectal bleeding in children:endoscopic evaluation revisited[J]. Eur J Gastroenterol Hepatol, 2007, 19(4):317-320. |
16. | Cynamon HA, Milov DE, Andres JM. Diagnosis and management of colonic polyps in children[J]. J Pediatr, 1989, 114(4 Pt 1):593-596. |
17. | Rozen P, Baratz M. Familial juvenile colonic polyposis withassociated colon cancer[J]. Cancer, 1982, 49(7):1500-1503. |
- 1. Sachatello CR, Hahn IS, Carrington CB. Juvenile gastrointestinalpolyposis in a female infant:report of a case and review of the literature of a recently recognized syndrome[J]. Surgery, 1974, 75(1):107-114.
- 2. Zimmermann H, Stauch G, Kamran D. Juvenile polyp in the small bowel (author’s transl)[J]. Z Kinderchir, 1981, 33(1):89-93.
- 3. Sah SP, Agrawal CS, Jha PC, et al. Juvenile polyps in the small intestine presenting as jejunojejunal intussusception in a 10-year-oldchild:report of a case[J]. Surg Today, 2002, 32(9):828-830.
- 4. 劉仕琪, 牛建華, 史生偉, 等. 小腸幼年性息肉致腸套疊1例報道[J]. 臨床和實驗醫(yī)學雜志, 2008, 7(3):176.
- 5. 孫茂, 周輝. 幼年性息肉致小兒空腸套疊1例分析[J]. 中國誤診學雜志, 2009, 9(31):7790.
- 6. Ceccanti S, Frediani S, Manganaro F, et al. Laparoscopic-assisted resection of juvenile polyp of the jejunum in a 3-year-old girl[J]. J Pediatr Surg, 2012, 47(2):426-429.
- 7. McColl I, Busxey HJ, Veale AM, et al. Juvenile polyposis coli[J]. Proc R Soc Med, 1964, 57(10):896-897.
- 8. Desai DC, Neale KF, Talbot IC, et al. Juvenile polyposis[J]. Br J Surg, 1995, 82(1):14-17.
- 9. Adolph VR, Bernabe K. Polyps in children[J]. Clin Colon Rectal Surg, 2008, 21(4):280-285.
- 10. Postgate AJ, Will OC, Fraser CH, et al. Capsule endoscopy for the small bowel in juvenile polyposis syndrome:a caseseries[J]. Endoscopy, 2009, 41(11):1001-1004.
- 11. Guilhon de Araujo Sant’Anna AM;Dubois J, Miron MC, et al. Wireless capsule endoscopy for obscure small-bowel disorders:final results of the first pediatric controlled trial[J]. Clin Gastroenterol Hepatol, 2005, 3(3):264-270.
- 12. de’ Angelis GL, Fornaroli F, de’ Angelis N, et al. Wireless capsule endoscopy for pediatric small-bowel diseases[J]. Am J Gastroenterol, 2007, 102(8):1749-1757.
- 13. Parra DA, Navarro OM. Sonographic diagnosis of intestinalpolyps in children[J]. Pediatr Radiol, 2008, 38(6):680-684.
- 14. 王石林, 顧國利, 魏學明, 等. Peutz-Jeghers 綜合征臨床綜合治療模式初探 (附 71 例報道)[J] . 中國普外基礎與臨床雜志, 2012, 19(5):502-506.
- 15. de Ridder L, van Lingen AV, Taminiau JA, et al. Rectal bleeding in children:endoscopic evaluation revisited[J]. Eur J Gastroenterol Hepatol, 2007, 19(4):317-320.
- 16. Cynamon HA, Milov DE, Andres JM. Diagnosis and management of colonic polyps in children[J]. J Pediatr, 1989, 114(4 Pt 1):593-596.
- 17. Rozen P, Baratz M. Familial juvenile colonic polyposis withassociated colon cancer[J]. Cancer, 1982, 49(7):1500-1503.