位移的聚合物进入了十二指肠,导致腹:一个案例报告
Yong Qiang Yang1, Wen Bin Gou2
1Digestive Endoscopy Department, People's Hospital of Wanning, Wanning, Hainan, P. R. China.
Medicine
|October 31, 2023
概括
在手术中使用的聚合物结合片的罕见并发症是十二指肠侵蚀和形成. 迅速去除异物体和感染治疗导致患者康复.
科学领域:
- 胃肠病学 胃肠病学
- 手术创新 在外科创新.
- 医疗器械并发症 医疗器械并发症
背景情况:
- 基于聚合物的Hem-o-lok剪贴和金属结剪贴广泛用于腹腔镜和机器人辅助手术,用于胆囊切除和尾切除等手术.
- 这些剪贴的移动到遥远的地点是一个非常罕见的并发症.
研究的目的:
- 报告一种罕见的十二指甲球泡侵蚀病例,由聚合物基结合带引起.
- 突出外科手术技术的重要性和潜在的替代方案,以尽量减少与相关的并发症.
主要方法:
- 一名67岁的女性出现腹痛和食欲不佳.
- 胃镜检查发现了一个外来物体,被确定为聚合物结合片残留物,嵌入了十二指肠球泡.
- 异物被通过内镜去除,然后进行抗感染治疗.
主要成果:
- 聚合物剪贴残余的内镜去除成功地治疗了十二指甲球球的侵蚀,并包含了.
- 患者表现出显著改善,没有进一步的观察到,并且在该部位治愈了颗粒状组织.
结论:
- 这一案例凸显了聚合物结合片可能引起的罕见但严重的并发症,例如十二指肠侵蚀.
- 建议包括细致的外科手术技术,尽量减少剪贴使用,并考虑替代方法,如可吸收的剪贴, sutures,或超声波剖析无剪贴的程序.
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