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我院自1986年至1995年采用内镜复位慢性胃扭转16例均获得成功。现将结果报道如下。 临床资料:年龄27至70岁,男11例,女5例,病程1～7个月,主要症状为上腹胀痛、暖气、恶心、反酸、呕吐,少数病人有黑便,术前8例X线诊断、8例胃镜诊断胃扭转。16例均为器官轴型胃扭转,其中不完全性12例,完全性4例。 内镜下表现:内镜进入贲门时,可见齿状线扭转,贲门处有点片状充血、水肿,少数可见到粘膜糜烂,进镜有阻力,入胃腔后正常。胃腔发生形态改变,胃大弯靠上,胃小弯靠下。胃大弯皱襞呈螺纹状扭转,胃角变形或消失,胃腔扩大,潴留液增多,难以找到幽门,注气后远端呈圆孤形狭窄。
Our hospital from 1986 to 1995 by endoscopic reduction of chronic gastric cancer were 16 cases were successful. The results are reported below. Clinical data: Aged 27 to 70 years old, 11 males and 5 females, duration of 1 to 7 months, the main symptoms of abdominal pain, heating, nausea, acid reflux, vomiting, a small number of patients with melena, preoperative 8 X-ray diagnosis of cases, 8 cases of gastroscopy diagnosis of gastric torsion. Twenty-six cases were organ axis type gastric torsion, of which 12 cases were incomplete and 4 cases were complete. Endoscopic performance: endoscopic into the cardia, the dentate line can be seen twisted, a little punctate congestion at the cardia, edema, a few can see mucosal erosion, into the mirror resistance, into the normal gastric cavity. Gastric cavity occurs morphological changes, upper stomach bend, lower stomach bend. Stomach bending wrinkled twisted twisted, stomach deformity or disappearance of the enlarged stomach, retention fluid increased, it is difficult to find the pylorus, gas injection distal rounded circular solitary stenosis.