在结肠镜检查后成功切除了长直肠外体
Carlos Borges Chaves1, Luís Santos2, Sofia Mendes3
1Gastroenterology, Centro Hospitalar e Universitário de Coimbra, Portugal.
Revista espanola de enfermedades digestivas
|February 12, 2024
概括
一名70岁的老人成功地通过结肠镜从他的直肠中取出了一个15天前插入的塑料管. 随访显示完全康复,突出了管理直肠外体的临床判断.
科学领域:
- 胃肠病学 胃肠病学
- 结肠直肠手术 结肠直肠手术
背景情况:
- 门外体 (RFB) 越来越常见,通常是为了性满足而自我插入的.
- 患者经常拖延寻求医疗护理,导致潜在的并发症.
研究的目的:
- 提出一个延迟呈现直肠外体的病例.
- 强调在RFB病例中临床判断和内镜管理的作用.
主要方法:
- 一名70岁的男性在15天的病史中出现了自己插入的直肠外体.
- 诊断成像 (X射线) 和结肠镜被用于诊断和切除.
- 一个18厘米长的塑料管被内镜切除,使用的是老鼠牙.
主要成果:
- 异物被成功移除,没有直接的并发症.
- 一个直肠被确定为保留对象的并发症.
- 患者没有进一步的投诉,并在六个月后进行了正常的随访结肠镜检查.
结论:
- 内镜去除是一种可行的,有效的治疗直肠外体.
- 及时的临床评估和管理对于RFB病例的良好结果至关重要.
- 该案例强调了在没有正式的临床指南的情况下,需要个性化管理策略.
相关概念视频
Endoscopic Procedures II: Colonoscopy
97
The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
97
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
88
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
88
Inflammatory Bowel Disease V: Surgical Management
145
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
145
Endoscopic Procedures III: Video Capsule Endoscopy
154
Capsule endoscopy, or wireless or video capsule endoscopy, is a diagnostic procedure for examining the entire gastrointestinal tract. Patients swallow a capsule about the size of a vitamin tablet. The capsule is equipped with a transmitter, a battery, an LED light source, and a color video camera to capture images throughout the gastrointestinal tract. This procedure is particularly useful for diagnosing conditions such as Crohn's disease, ulcerative colitis, tumors, polyps, ulcers,...
154
Assessment of the Rectum and Anus
220
Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
220
Lower GI Series: Barium Enema
270
A Barium Enema, or a lower GI series, is a specialized radiographic examination designed to visualize the lower gastrointestinal tract, specifically the colon and rectum. This procedure is instrumental in diagnosing various conditions such as colorectal cancer, polyps, diverticulosis, and inflammatory bowel disease.
Procedure Details
The examination begins by inserting a lubricated rectal tube into the patient's rectum to administer a radiopaque barium solution. The barium flow is carefully...
Procedure Details
The examination begins by inserting a lubricated rectal tube into the patient's rectum to administer a radiopaque barium solution. The barium flow is carefully...
270


