胃外宫胰腺内镜治疗与反复的和出血:一个病例报告
Tomoya Kimura1, Yohei Minato1, Susumu Banjoya1
1Department of Gastrointestinal Endoscopy NTT Medical Center Tokyo Tokyo Japan.
DEN open
|January 29, 2024
概括
这项案例研究突出显示了胃外宫胰腺的成功内切除,导致反复出血的. 最少侵入性治疗实现了完全治愈,没有观察到复发.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
- 病理学 病理学 病理学
背景情况:
- 胃外胰腺可以呈现为粘膜下瘤,可能导致诸如出血等并发症.
- 由胃病变引起的反复出现的胃肠道出血需要进行彻底的调查和有效的管理策略.
研究的目的:
- 报告一种胃外宫胰腺呈 submucosal 瘤的病例,并出现反复出血的.
- 评估内镜切除作为这种罕见疾病的微创治疗方法的疗效.
主要方法:
- 诊断最初建议使用内镜超声波.
- 胃下粘膜瘤在形态上发生了转变,导致紧急内镜和内镜血静.
- 治愈治疗包括通过热陷多斑切除术进行内镜切除.
主要成果:
- 患者经历了持续的表胃疼痛和黑色素的症状,尽管初始治疗.
- 内镜切除成功地去除了病变,患者在术后没有出现复发迹象.
- 随访内镜证实了切割部位的痕形成,没有任何复发.
结论:
- 内镜切除是一种安全有效的微创性治疗,用于症状性胃外宫胰腺和反复出血.
- 这种方法为复杂的病例提供了治愈的解决方案,这些病例可能不会对保守的管理产生反应.
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