在儿童中诱导的Helicobacter pylori-诱导的胃肠缩
Sofia Zeidan1, Albert Jeh Seng Chang2, Trinh Thi Nhat Truong3
1Davis School of Medicine, University of California, Sacramento, CA.
ACG case reports journal
|January 1, 2024
概括
杆菌 (H. pylori) 感染可能会导致儿童严重的胃管狭窄,导致胃出口阻塞. 这一案例突出了H. pylori作为儿童胃肠狭窄症的潜在原因,需要手术干预.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 传染性疾病 传染性疾病
- 外科胃肠道外科手术
背景情况:
- 杆菌是常见的病原体,与胃潰瘍疾病有关.
- 胃腺狭窄症在儿童中很罕见,通常有其他病因.
- 之前还没有确定H. pylori和儿科狭窄症之间的关联.
研究的目的:
- 报告一名儿童因H. pylori感染引起的严重胃肠狭窄的不寻常病例.
- 强调H. pylori在儿科胃肠狭窄症中的潜在作用.
- 讨论这种严重表现的含义.
主要方法:
- 一个12岁男孩患有急性腹痛和吐的病例报告.
- 诊断工作包括便H.pylori抗原测试和食道胃管腺镜检查.
- 外科干预涉及腹腔镜干部阴道切除术和开放式脊柱造形术,用于医疗耐药性疾病.
主要成果:
- 患者出现了表明胃出口阻塞的症状.
- 通过便抗原检测证实了H. pylori感染.
- 消化管-胃管-骨镜检查显示了显著的胃管-骨狭窄.
- 由于病情的严重性和耐火性,需要进行手术管理.
结论:
- 在儿童胃肠狭窄的差异诊断中应考虑Helicobacter pylori.
- 严重的H. pylori相关的胃腺狭窄可能发生在儿童中,需要手术干预.
- 这一案例凸显了小儿患者中H. pylori引起的显著胃肠道疾病的可能性.
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