一个穿皮内镜结肠管来救援
Laith Numan1, Tim Brotherton2, Michelle Baliss1
1Department of Gastroenterology and Hepatology, St. Louis University, St. Louis, MO.
透皮内镜结肠造型术 (PEC) 为结肠伪阻塞提供了一种最小侵入性治疗方法. 这一案例研究证明了PEC.
科学领域:
- 胃肠病学和干预性内镜检查
- 结肠直肠手术 结肠直肠手术
- 最少侵入性手术的方法
背景情况:
- 透皮内镜结肠术 (PEC) 是一种最小的侵入性选择,用于管理复杂的肠道疾病.
- 它是不适合进行外科手术的患者的替代方案.
- 迹象包括经常出现的结肠伪阻塞,西格体卷发,慢性便秘和神经性肠道.
研究的目的:
- 为了呈现一种急性结肠伪阻塞的情况,这是由于Clostridioides difficile感染的次要原因.
- 为了证明PEC管放置在耐火病例中的有效性.
主要方法:
- 一名患有急性结肠伪阻塞后Clostridioides difficile感染的患者接受了治疗.
- 内镜解压和医疗疗法未能解决这种情况.
- 皮肤内镜结肠静止术 (PEC) 管被放置在横向结肠中.
主要成果:
- 在PEC管的放置成功地解决了结肠膨胀.
- 患者经历了微创手术后的积极结果.
结论:
- 透皮内镜结肠静止术 (PEC) 是一种有效的治疗急性结肠伪阻塞,不响应标准疗法.
- 在复杂的肠道疾病中,PEC提供了一种有价值的最小侵入性选择.
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