一个新的胆汁支架迁移病例,导致西格分离器被困
Anmol Mittal1, Afif Hossain1, Kamal Amer2
1Department of Medicine, Rutgers New Jersey Medical School, Rutgers University, Newark, USA.
Cureus
|June 28, 2023
概括
用于胰腺胆道阻塞的塑料胆道支架可以迁移并引起并发症. 这一案例突显了留住支架的严重出血,强调了需要更好的患者随访系统.
科学领域:
- 胃肠病学 胃肠病学
- 胃肠内镜检查 胃肠内镜检查
背景情况:
- 胰腺胆道阻塞是一种需要干预的严重疾病.
- 塑料胆道支架通常用于保持胆道通透性.
- 支架迁移是一种罕见但严重的并发症.
研究的目的:
- 报告一个罕见的长期塑料胆道支架保留病例.
- 为了突出严重的胃肠道出血作为保留的支架的并发症.
- 强调患者随访的重要性,以预防不良事件.
主要方法:
- 案例报告的呈现方式.
- 对临床病史和内镜检查结果的审查.
- 讨论管理和预防策略.
主要成果:
- 一个塑料胆道支架被保留了五年多,导致严重的血.
- 留住的支架被放置在一个十二指肠分离体内.
- 这种并发症强调了与长期内置支架相关的风险.
结论:
- 长期内置的塑料胆道支架存在严重并发症的风险.
- 支架的迁移和保留可以导致危及生命的疾病,如大量出血.
- 强大的患者随访系统对于预防保留胆道支架的并发症至关重要.
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