囊内镜在食道上部的保留:一个全面的文献综述
Arteen Arzivian1, Elke Wiseman, Yanna Ko
1Endoscopy Unit, Macquarie University Hospital, Macquarie Park, NSW.
Medicine
|September 8, 2023
概括
囊在食道上部保留是一种不常见的囊内镜的并发症. 通过部X射线及内镜检索与使用外管重新插入的早期诊断是建议的管理策略.
科学领域:
- 胃肠病学 胃肠病学
- 医疗成像医学成像
- 内镜检查是指内镜检查.
背景情况:
- 囊内镜是小肠疾病的主要诊断工具.
- 囊保留是最常见的不良事件,通常发生在小肠中.
- 上部食道阻塞是一种不太常见但已有记录的并发症,缺乏明确的诊断和管理指南.
研究的目的:
- 系统地审查和总结诊断工作和管理策略对上食道囊保留.
- 为临床医生遇到这种罕见并发症提供指导.
主要方法:
- 在五个数据库中进行了系统的文献审查.
- 关键字和MeSH术语被用于全面的搜索.
- 分析了12份符合条件的病例报告中的数据.
主要成果:
- 确定了12份病例报告,主要涉及老年男性,在Zenker的分泌体或cricopharyngeus中保留.
- 部X射线证实了所有病例的诊断.
- 内镜检索,通常使用罗斯网,是成功的,通过外管重新插入是最安全的方法.
结论:
- 上方食道囊的保留是罕见的,但可能导致不必要的程序.
- 症状的吞问题和大型Zenker的分分泌体是囊内镜的禁忌.
- 建议老年患者进行部/胸部X射线,因为囊通道延迟;内镜检索和超管辅助再插入是第一线管理.
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