成功的内镜硬化疗法对静脉瘤出血:一个病例报告
Jinfeng Ren1, Tianyu Liu1, Yunzhi Zhang1
1Unit 4 of Gastroenterology Center Suining Central Hospital Suining Sichuan China.
DEN open
|June 22, 2023
概括
透视硬化疗法有效地治疗了由于心脏病而无法接受手术的患者的静脉瘤出血. 这种新的方法为来自恶性瘤的非水上部胃肠道出血提供了潜在的解决方案.
科学领域:
- 胃肠病学 胃肠病学
- 在瘤学瘤学.
- 干预性内镜检查是干预性的内镜检查.
背景情况:
- 解剖瘤出血是胃切除术后的一个严重并发症.
- 在患有冠状动脉样硬化心脏病等并发症的患者中,手术干预通常是禁忌的.
- 透视性硬化疗法 (ES) 已被确立用于水出血,但对于非水原因的原因不太被探索.
研究的目的:
- 为了呈现一个成功的内镜硬化疗法对于静脉瘤出血的案例.
- 评估ES在高风险患者的恶性瘤出血管理中的有效性.
主要方法:
- 一名71岁的男性患者患有静脉瘤瘤,在子总胃切除术 (Billroth II) 后出血.
- 由于无法接受手术,进行了内镜硬化疗法.
- 该程序涉及向注射以控制出血.
主要成果:
- 内镜硬化疗法成功控制了静脉瘤出血.
- 患者的病情稳定,不需要进一步的手术干预.
- 这代表了一个潜在的有效的内镜治疗这个特定的指示.
结论:
- 透视性硬化疗法可以成为解瘤出血的有效治疗选择,特别是在不适合手术的患者中.
- 这一案例突出了ES在恶性瘤相关的上部胃肠道出血中的新应用.
- 进一步的研究可能会探索ES作为类似病例的可行治疗策略.
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