一个独特的管理策略,迁移的胆汁支架造成十二指肠孔径的管理策略
Trent Walradt1, Marvin Ryou1, Raj Shah1
1Department of Gastroenterology, Brigham and Women's Hospital, Boston, MA.
ACG case reports journal
|October 30, 2023
概括
在内镜胆管塑料支架放置后,导致十二指肠穿孔的远端支架迁移是罕见的. 这一案例描述了迁移的支架的预期管理,直到形成双核囊,允许内镜去除.
科学领域:
- 胃肠病学 胃肠病学
- 内镜检查是指内镜检查.
- 胆汁干预 胆汁干预
背景情况:
- 内镜胆道塑料支架安置是一种常见的手术.
- 远程支架迁移是一种罕见但严重的并发症.
- 由于迁移的支架而导致的十二指甲孔穿孔需要谨慎管理.
研究的目的:
- 报告一个罕见的偏远胆道塑料支架迁移病例.
- 描述由迁移的支架引起的十二指甲孔的管理.
- 突出囊形成在促进支架移除中的作用.
主要方法:
- 一个患有迁移的胆道塑料支架的病人的案例介绍.
- 对于十二指甲孔穿孔的预期管理方法.
- 用于诊断和切除的内镜逆行胆血管细胞造影 (ERCP).
- 观测双结核形成的过程.
主要成果:
- 一个迁移的胆道塑料支架穿孔了十二指肠.
- 患者最初是非手术管理的.
- 一个自发形成的双胞胎.
- 在囊形成后,成功地进行了对支架的内镜切除.
结论:
- 带有十二指肠穿孔的远端支架迁移是一种罕见的并发症.
- 在某些特定情况下,预期管理可能是一个可行的选择.
- 双结核囊的形成可以帮助内镜检索迁移的支架.
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