按电池摄入后严重的后皮洛里性损伤:系统性文献综述和案例报告
Jules-Antoine Vaucel1, Morgan Recher2, Camille Paradis1
1Centre Antipoison de Bordeaux (Bordeaux Poison Control Center), Bordeaux University Hospital, Bordeaux Cedex 33076, France.
概括
按电池 (BB) 摄入可能会导致严重的肠道并发症,特别是在有过肠道手术的儿童中. 从胃部提前进行内镜切除至关重要,以防止穿孔和长时间住院等严重后果.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 毒理学 毒理学 毒理学
- 手术病例报告 手术病例报告
背景情况:
- 吞按电池 (BB) 是一个已知的紧急情况,特别是在食道.
- 从BBs通过 pylorus进入肠道的并发症是不太了解的.
- 本综述侧重于BB摄入后严重的肠损伤病例.
研究的目的:
- 描述了按电池吞的严重病例,这些病例已经通过了pylorus.
- 为了强调与胃肠道中按电池相关的风险.
- 为了向临床实践提供关于摄入按电池管理的信息.
主要方法:
- 按照PRISMA指南进行系统的文献审查.
- 搜索了五个数据库和美国. 毒品控制中心网站.
- 包括一个小肠封闭病例报告从一个LR44BB在一个婴儿之前肠道手术.
主要成果:
- 确定了12个额外的严重的肠道或结肠损伤的病例,这些病例是由BB摄入造成的.
- 11个案例涉及小BBs (<15毫米) 影响梅克尔的分离器.
- 一个病例与术后狭窄有关,类似于本案.
结论:
- 肠道狭窄或手术史是BB冲击的关键因素.
- 消化内镜用于胃BB去除应考虑这些患者病史.
- 及时干预可以防止延迟肠道穿孔,封闭和延长住院治疗.
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