在上胃肠内镜检查期间,由于过度膨胀引起的胃孔隙病例:非手术管理
1Department of Internal Medicine, CHA Ilsan Medical Center, CHA University School of Medicine, Goyang-si, South Korea.
Case reports in gastroenterology
|November 29, 2023
概括
上部胃肠道内镜可以导致胃穿孔,这是一个严重的并发症. 这一案例突显了由于过度吸气而导致的穿孔的成功非手术治疗,强调了保守治疗.
科学领域:
- 胃肠病学 胃肠病学
- 内镜手术是一种内镜手术.
- 手术并发症 手术并发症
背景情况:
- 上部胃肠道内镜是一种常见的诊断和治疗工具.
- 胃穿孔是内镜检查的一个罕见但严重的并发症.
- 确定穿孔风险因素和预防措施至关重要.
研究的目的:
- 在上部胃肠内镜检查期间报告胃孔的情况,这是由于过度灌气的次要原因.
- 为了突出这一并发症的成功保守管理.
主要方法:
- 一个64岁的男性病例介绍,他有胃病史.
- 用过度和长时间的吸气进行内镜手术,导致怀疑胃穿孔.
- 非手术治疗包括禁食,静脉注射液体,抗生素,PPI和输血.
主要成果:
- 胃穿孔发生在胃体较小的曲率上.
- 患者成功地接受了非手术治疗.
- 随访CT扫描显示没有泄漏,并在2个月内完全愈合.
结论:
- 保守治疗可以有效地管理由内镜检查引起的胃穿孔.
- 治疗内镜诱导的胃穿孔的趋势正在转向非手术方法.
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