经过冷陷多角切除术后延迟穿孔的病例,通过内镜剪贴关闭进行了保守治疗
Toshifumi Iida1, Yohei Minato1, Susumu Banjoya1
1Department of Gastrointestinal Endoscopy NTT Medical Center Tokyo Tokyo Japan.
DEN open
|October 23, 2023
概括
在冷陷多角切除术后延迟的结肠穿孔通过内镜剪贴关闭成功管理. 这种最少的侵入性方法为精选的多角切除术后穿孔病例提供了可行的治疗选择.
科学领域:
- 胃肠病学 胃肠病学
- 内視鏡外科手術 內視鏡外科手術
背景情况:
- 结肠直肠癌查通过结肠镜检查与多角切除术是常见的.
- 延迟穿孔是一种罕见但严重的结肠镜检查和多角切除术的并发症.
研究的目的:
- 报告在冷陷多角切除术后延迟结肠穿孔的病例.
- 评估内镜剪贴关闭在控制封闭结肠穿孔的有效性.
- 讨论最小侵入性内镜技术在治疗多角切除术后并发症中的有用性.
主要方法:
- 一名45岁的男性接受了查结肠镜检查,并进行了冷陷多角切除术.
- 延迟结肠穿孔的诊断是基于症状和CT发现.
- 对穿孔区域进行了内镜剪贴关闭,随后进行了保守的管理.
主要成果:
- 患者出现了腹部疼痛和放射学证据的自由空气.
- 内镜剪贴关闭成功封闭了穿孔,没有立即的并发症.
- 患者的症状通过保守的管理得到解决,他在第6天出院.
结论:
- 内镜剪贴闭合是一种安全有效的治疗方法,用于在多角切除术后延迟结肠穿孔的特定病例.
- 这种最少的侵入性方法可以避免需要在封闭式穿孔中进行外科手术.
- 及时诊断和适当的内镜治疗可以在多片切除术后的穿孔中带来有利的结果.
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