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二酸化ナトリウムとカテーテルを用いたフィトベゾール誘発性腸阻害の非手術的解消: 2件の報告
Binglong Bai1, Jingying Zhang1, Hengqing Zhu1
1Department of General Surgery, Second Affiliateda Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang, China.
The American journal of case reports
|September 2, 2025
まとめ
2人の高齢の患者で,大型のフィトベゾアを効果的に解消し,腸の閉塞に対する安全で非外科的な代替手段を提供しました.
科学分野:
- 胃腸内科
- 内視鏡手術
- 消化器系 障害
背景:
- フィトベゾアによって引き起こされる小腸の阻害は,特に手術を拒否する患者に管理上の課題をもたらします.
- ペルシモンのタニンの結晶は,固有の地域で一般的な原因であり,標準的な治療法は手術です.
- 既存の非手術方法では 大量の液体が必要で 悪化する危険性があります
研究 の 目的:
- フィトベゾア阻害に対するカテーテル解圧と組み合わせた新型の低容量の二酸化ナトリウム灌の有効性を評価する.
- リスクの高い患者や 手術を拒む患者にとって 安全な非外科的な代替手段を確立するためです
主な方法:
- 耐火性フィトベゾア阻害症の高齢患者2人の内視系カテーテル設置
- ターゲットを絞った5%の二酸化ナトリウム灌 (毎日2回100ミリリットル)
- 連続画像と症状評価によるモニタリング
主要な成果:
- 両方のケースでは手術なしで5〜10日以内に大きなフィトベゾア (4〜7cm) が完全に解消されます.
- ケース1:CTで確認されたベゾア縮小と10日以内に自発的な経路.
- ケース2: 5日後に3x7cmのベゾアを放出する. 合併症や生化学的不均衡はない.
結論:
- フィトベゾアによる小腸閉塞に対する安全で効果的な非手術療法です.
- このプロトコルは,ビカルボネートの粘液分解作用と 最小の液体量での機械的な解圧を活用しています.
- このアプローチは 手術に不適した患者や 手術を拒否する患者にとって 実行可能な代替手段となります
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