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保留的石头取回篮子导致慢性胰腺炎:一个案例报告
James Wai Kit Lee1,2,3, Ming Yuan Tan4, Calvin Koh5
1Department of Surgery, National University Hospital, Singapore, Singapore.
Frontiers in surgery
|August 25, 2023
概括
保留的内镜逆行胆瘤胆瘤学 (ERCP) 仪器,如取石头的篮子,可以导致严重的胰腺炎. 迅速去除异物是防止严重并发症,如门静脉血栓症至关重要的.
科学领域:
- 胃肠病学 胃肠病学
- 内镜手术是一种内镜手术.
- 胰腺疾病 胰腺疾病
背景情况:
- 内镜逆行胆管松造影 (ERCP) 经常用于与胆结石相关的疾病.
- 虽然ERCP通常是安全的,但存在风险,包括保留的工具所带来的并发症.
- 受影响的Dormia篮是罕见的,但有记录的ERCP并发症.
研究的目的:
- 报告一个由保留的石头提取篮子引起的复发性胰腺炎病例.
- 为了强调ERCP期间完全外体检索的重要性.
主要方法:
- 一名40岁的男性患者患有复发性胰腺炎,接受了成像 (X射线,CT,MRI) 和内镜检查.
- 内镜检查显示,从之前的ERCP中保留了一个石头提取篮.
- 外体被移除,患者接受了门静脉血栓症的抗凝药.
主要成果:
- 一个保留的石头提取篮被确定为复发性急性-慢性胰腺炎的原因.
- 取得了成功的异物体的去除.
- 患者患有胰腺炎的继发性门静脉血栓,需要抗凝药.
结论:
- 留存的异物,特别是在胰腺头部,构成重大风险.
- 在ERCP后完全检索所有仪器对于防止长期并发症至关重要.
- 早期识别和清除保留的ERCP材料可以减轻严重的后果.
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