繰り返すS状結腸捻転に起因する狭窄型虚血性大腸炎の1例

  • 五味 邦之
    がん研究会有明病院消化器センター消化器外科
  • 藤本 佳也
    がん研究会有明病院消化器センター消化器外科
  • 小西 毅
    がん研究会有明病院消化器センター消化器外科
  • 長山 聡
    がん研究会有明病院消化器センター消化器外科
  • 福長 洋介
    がん研究会有明病院消化器センター消化器外科
  • 上野 雅資
    がん研究会有明病院消化器センター消化器外科

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タイトル別名
  • A case of stricturing type of ischemic colitis following repeat occurrences of sigmoid volvulus that was successfully treated using laparoscopic colectomy
  • ショウレイ クリカエス Sジョウ ケッチョウ ネンテン ニ キイン スル キョウサクガタキョケツセイ ダイチョウエン ノ 1レイ

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抄録

A 71-year-old man had experienced sigmoid volvulus repeatedly because of elongation of the sigmoid colon and was treated using colonoscopy. Later, adenoma was detected at the sigmoid colon. Because of the existence of stenosis with a longitudinal ulcer, we diagnosed stricturing type of ischemic colitis following sigmoid volvulus, and we performed laparoscopic sigmoidectomy because volvulus had developed repeatedly and endoscopic resection of the adenoma was difficult. We removed the colon by using a laparoscope and resected the sigmoid colon from the enlarged part to the stenotic part by using small laparotomy. Sigmoid volvulus often occurs in elderly people with chronic constipation and is first treated by using colonoscopy without performing an operation. However, patients who cannot be treated using colonoscopy and experience repeat occurrences of sigmoid volvulus often need to undergo an operation.<BR>In this case, we selected sigmoidectomy because of the existence of stenosis attributable to repeat occurrences of volvulus and selected laparoscopic surgery for lower invasion.

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