未经证实:回肠造口扭转是小肠梗阻的罕见原因。我们提出了不存在粘连的回肠造口术扭转的不寻常病例。此外,进行了系统的文献综述,以整理有关原因的当前文献,诊断,治疗,与回肠造口术相关的小肠梗阻的预防措施。
未经批准:PubMed(Medline),Embase,谷歌学者,Scopus,和CochraneCENTRAL从成立到2022年8月进行了搜索。本研究遵循PRISMA指南,并在PROSPERO注册。主要结果包括患者的人口统计学,成像模式,初次手术的指征,造口的类型和配置,手术治疗,和肠扭转复发。使用Murad工具评估纳入研究的质量。从患者获得书面知情同意书。
未经批准:纳入了七项研究,包括967名患者。据报道,所有159例患者均存在造口出口梗阻(SOO)。和12回肠造口扭转为原因。大多数患者对回肠造口术进行了环造口术。纳入研究未报告并发症或死亡率,纳入研究的一半被认为质量良好。
未经证实:此病例表明,对于回肠环造口术患者,需要高度怀疑SOO,应该进行快速管理。回肠造口术时,腹直肌厚度增加,术前总糖皮质激素用量较低与SOO有关,我们需要进行大规模的回顾性研究来验证我们的发现.
UNASSIGNED: Ileostomy volvulus is a rare cause of small bowel obstruction. We present an unusual
case of ileostomy volvulus without the presence of adhesions. Additionally, a systematic literature review was performed to collate the current literature on the causes, diagnosis, treatment, and preventative measures of ileostomy-related small bowel obstruction.
UNASSIGNED: PubMed (Medline), Embase, Google Scholar, Scopus, and Cochrane CENTRAL were searched from their inception up to August 2022. This study adhered to the PRISMA guidelines and was registered on PROSPERO. The primary outcomes included patients\' demographics, imaging modality, indication for initial surgery, type and configuration of
stoma, surgical treatment, and recurrence of volvulus. The quality of included studies was assessed using the Murad tool. Written informed consent was obtained from the patient.
UNASSIGNED: Seven studies were included, comprising 967 patients.
Stoma outlet obstruction (SOO) was reported in all 159 patients, and 12 had ileostomy volvulus as the cause. A majority of patients had loop ostomies for ileostomy volvulus. No complications or mortality were reported in the included studies, and half of the included studies were deemed to be of good quality.
UNASSIGNED: This
case demonstrates the need for high clinical suspicion of SOO in patients with loop ileostomy, and rapid management should be undertaken. Whilst loop ileostomies, increased rectus abdominal muscle thickness, and lower preoperative total glucocorticoid dosage are associated with SOO, large-scale retrospective studies are needed to validate our findings.