胃磁性异体在摄入几年后偶然被检测到
Dong Chan Joo1,2, Moon Won Lee1,2, Seung Min Hong1,2
1Department of Internal Medicine, Pusan National University College of Medicine, Busan, Korea.
The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi
|October 25, 2023
概括
外体摄入虽然在儿童中很常见,但在成年人中也可能发生. 这一案例突显了成年人胃中成功的内镜去除摄入的磁铁和金属物体.
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:
- 外体摄入是经常发生的儿科问题,但也可能发生在成年人身上,通常与智力障碍,精神疾病或酒有关.
- 摄入磁性外体带来风险,包括胃肠道穿孔,需要迅速进行内镜干预.
研究的目的:
- 报告一个罕见的成人磁性外体摄入案例.
- 描述智力障碍患者和摄入磁铁的诊断和管理方法.
- 在这种情况下强调内镜切除的安全性和有效性.
主要方法:
- 腹部CT扫描用于初步检测金属外体.
- 消化管胃管腺镜 (EGD) 用于详细的可视化和物体检索.
- 用老鼠牙的子进行内镜去除.
主要成果:
- 一名59岁的智力残疾和精神障碍男性在胃中发现了偶然发现的金属物体.
- 消化管胃管腺镜检查显示,多个金属物体附着在两颗磁铁上,这些磁铁在几年前被摄入.
- 所有磁铁和金属物体的内镜切除成功,没有任何并发症.
结论:
- 成年人摄入外体,特别是使用磁铁,可能发生在患有潜在智力和精神疾病的患者中.
- 内镜切除是复杂的外体摄入的安全有效的治疗方法.
- 早期诊断和干预可以预防严重的胃肠道并发症.
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