laparoscopic食道术后的伪光子接的内镜管理:一个病例报告
1Department of Surgery, Kyungpook National University Hospital, School of Medicine, Kyungpook National University, Daegu, South Korea
International journal of surgery case reports
|September 16, 2023
概括
消化管结合术 (EJS) 后的伪光线拼接可能会导致阻塞. 覆盖组织的非手术内镜释放成功地管理了这种并发症,避免了重复手术.
科学领域:
- 胃肠病学 胃肠病学
- 手术并发症 手术并发症
- 内镜手术 进行内镜手术
背景情况:
- 伪光接是全胃切除术后食道支节切除术 (EJS) 的不常见并发症.
- 这种情况发生在线性接器无意中产生由粘膜覆盖的虚假光线时,可能导致阻塞.
- 目前的管理通常涉及手术修复,这带有风险.
研究的目的:
- 为了呈现一个在腹腔镜全胃切除术后未被注意到的伪光接合的案例.
- 描述这种并发症的成功非手术治疗方法.
主要方法:
- 一名64岁的男性患者在EJS后发展出伪光接合.
- 这种并发症在术后通过内镜释放阻塞的粘膜组织来进行治疗.
- 随访包括胃镜和内镜检查.
主要成果:
- 在技术上,内镜释放程序是成功的.
- 术后成像证实了良好的对比度通过解.
- 一年后的随访显示,没有狭窄的专利解剖.
结论:
- 覆盖组织的内镜释放是一种可行的非外科手术选择,用于管理伪光线拼接.
- 这种方法可以有效地解决阻塞,并保存无需重复手术的解剖.
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