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Updated: Sep 9, 2025
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Murine Ileocolic Bowel Resection with Primary Anastomosis
Published on: October 29, 2014
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イアトロゲン性大腸 perforation の内視鏡治療: 文献レビューとケースレポート
Sena Uzunlar1, Alexander Haitham Turaihi2, Hassan Turaihi2
1University of South Dakota Sanford School of Medicine.
まとめ
コロノスコープによる穿孔は 稀な合併症で 深刻な結果を招く可能性があります 最近のケース・スタディでは,オーバー・ザ・スコープ・クリップを用いた内視鏡による管理が成功しました.
科学分野:
- 胃腸内科
- 内視鏡手術
背景:
- コロノスコピーの穴は 低腸内視鏡検査の 希少だが深刻な合併症である.
- 高い罹病率と死亡率と関連しており,しばしば手術が必要となる.
研究 の 目的:
- オーバー・ザ・スクープ・クリップを使って結腸孔の内視鏡治療を成功させたケースを報告する.
- 大腸内視鏡の穿孔の発生率と内視鏡の管理の役割について議論する.
主な方法:
- 79歳の女性の症例報告 エンドスコピカルポリペクトミーの後の 大腸の穿孔
- 診断はCTスキャンで 肺部が確認された
- コロノスコーピーを繰り返す際に,オーバー・ザ・スクープ・クリップを使用して穴を開けることができました.
主要な成果:
- 大腸の穿孔は成功裏に特定され,内視鏡で閉じた.
- オーバー・ザ・スコープ・クリッピングは 侵襲性の少ない管理の選択肢を提供した.
- 患者の穿孔は 手術なしで治りました
結論:
- 顕微鏡外クリップによる内視鏡治療は,特定のコロノスコピーの穴の治療に適した選択肢です.
- このアプローチは手術の必要性とそれに伴う合併症を減らすことができます.
- コロノスコピーの穴の発生率と最適な管理戦略に関するさらなる研究が必要である.
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