在胃前腔内嵌的鱼骨的内镜去除
Jiang Li1, Xu Huan2, Ma Bo-Yu3
1Department of Gastroenterology, The Affiliated Hospital of Southwest Medical University, Luzhou, China. . jl2568694292@163.com.
Journal of gastrointestinal and liver diseases : JGLD
|June 22, 2023
概括
呈现了一种罕见的胃下粘膜鱼骨侵袭病例. 影像成像和内镜下层剖析 (ESD) 成功诊断并移除了异物,突出了诊断挑战.
科学领域:
- 胃肠病学 胃肠病学
- 医疗成像医学成像
- 手术内镜是指手术内镜.
背景情况:
- 摄入外体,特别是鱼骨,可能导致胃肠道并发症.
- 由于其位置,在胃部的下粘膜外体存在诊断挑战.
研究的目的:
- 报告一种罕见的鱼骨侵入胃下粘膜的病例.
- 描述胃鱼骨外体的临床,成像和内镜发现.
- 为了说明这种情况的成功内镜治疗.
主要方法:
- 一名26岁的患有胃上部不适的患者接受了计算机断层扫描 (CT) 和食道胃二透镜 (EGD).
- 用内镜超声波 (EUS) 进行了病变的详细表征.
- 进行了内镜下膜剖析 (ESD) 进行诊断和异物体的去除.
主要成果:
- 扫描显示了一个超密集的线性物体;EGD显示了胃中一个粘膜下凸起.
- 在EUS中,表现出一个超声波的病变,后部影像.
- 通过ESD成功提取了3厘米的鱼骨.
结论:
- 鱼骨侵入胃下粘膜是一种罕见但重要的临床实体.
- 多模式成像,包括CT,EGD和EUS,对于诊断至关重要.
- 内镜下膜剖析提供了一种最小的侵入性方法来管理胃外体.
相关概念视频
Endoscopic Procedures V: ERCP
436
Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Patient...
436
Peptic Ulcer Disease V: Surgical Management and Nursing Care
349
Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
Surgical Interventions for Peptic Ulcer Disease
349
Endoscopic Procedures I: Esophagogastroduodenoscopy
208
An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
During an EGD, the endoscope can be used to:
208
Gastritis III: Clinical Manifestations and Management
340
The clinical manifestations of gastritis can vary depending on the cause and type of gastritis, but some common symptoms may include the following.
Clinical manifestations of acute gastritis
The patient with acute gastritis may have a rapid onset of symptoms, such as epigastric pain or discomfort, dyspepsia, anorexia, hiccups, or nausea and vomiting, which can last from a few hours to a few days. Erosive or hemorrhagic gastritis may cause bleeding, which may manifest as blood in vomit or as...
Clinical manifestations of acute gastritis
The patient with acute gastritis may have a rapid onset of symptoms, such as epigastric pain or discomfort, dyspepsia, anorexia, hiccups, or nausea and vomiting, which can last from a few hours to a few days. Erosive or hemorrhagic gastritis may cause bleeding, which may manifest as blood in vomit or as...
340
Gastroesophageal Reflux Disease II: Clinical Features and Management
119
Gastroesophageal reflux disease, or GERD, is a persistent medical condition that affects many individuals worldwide. Its clinical manifestations can vary greatly, making diagnosis and management challenging for healthcare professionals. The following is a comprehensive overview of the clinical manifestations, assessment, and management strategies for GERD.
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
119
Inflammatory Bowel Disease V: Surgical Management
173
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
173


