ĐẶC ĐIỂM LÂM SÀNG VÀ KẾT QUẢ ĐIỀU TRỊ TẮC RUỘT DO BÃ THỨC ĂN SAU CẮT ĐOẠN DẠ DÀY

Abstract

Aim of study: 1. Evaluation of Clinical characteristics and paraclinical features of Bezoars induced- small bowel obstructions post gastrectomy. 2. The surgical results of Bezoars induced- small bowel obstructions post gastrectomy. Results: There were 8 patients, male 50%, female 50%, Mean age: 68,9 ±3,18; +Surgical History: Partial gastrectomy in 75% (5patients for gastric cancer,1 patients for gastro-duodenal ulcer). +Symptoms: Abdominal pains in 75%; nausea and vomiting in 75%; lack of defecation in 75%, bowel movement in 75%. CT. scan revealed bezoars in 62,5%. +Surgical procedure: Miking in 12,5%, Enterotomy in 75%, Gastrostomy in 12,5%. Phytobezoars in 100%. Phytobezoars mass diameter ≤ 5 cm in 25; Phytobezoars mass diameter ≥5 cm in 75%. Phytobezoars locations: Jejunum in 50,0% (1 patients had 2 phytobazoars: 1 in jejunum, 1 in stomach); Ileum in 50,0%. No death postoperation. Complication 2 patients had infected abdominal insision (25%). There were no reoperated patient within 6 month post operation. Consclusion: 8 patients, male 50%, female 50%, mean age 68,9 ±3,18 year. Surgical History: Partial gastrectomy in 75%. 1) Clinical and paraclinical characteristics: + Abdominal pains in 75%; nausea and vomiting in 75%; Lack of defecation in 75%, bowel movement in 75%. + CT.scan revealed bezoars in 62,5%. 2) Surgical results: + Surgical procedure: Miking in 12,5%, Enterotomy in 75%, Gastrostomy in 12,5%. + Phytobezoars in 100%. + Phytobezoars mass diameter: ≤ 5 cm in 25%, phytobezoars mass diameter > 5 cm in 75%. + Phytobezoars locations: Jejunum in 50,0%; Ileum in 50,0%. +No death post operation. Complication: 2 patients had infected abdominal insision (25%).