用双气球内镜指导的阴茎解压管用于十二指甲骨干茎泄漏的逆向排水:一个新的病例报告
Ryozan Naito1, Nobuhiro Nakazawa2, Dan Zennyoji3
1Department of General Surgical Science, Gunma University Graduate School of Medicine, 3-39-15, Showa-Machi, Maebashi, Gunma, 371-8511, Japan.
Surgical case reports
|February 17, 2024
概括
胃切除术后的十二指肠茎泄漏可能是严重的. 这个案例证明了成功的内镜逆行式除压管插入用于管理反复泄漏和出血,提供了一种新的治疗方法.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
- 最少侵入性的手术
背景情况:
- 十二指肠漏是胃切除术后的一种严重并发症.
- 对这种并发症的有效管理策略仍然有限.
- 之前没有报道过十二指节茎泄漏的内镜排水技术.
研究的目的:
- 报告一种新的内镜方法,用于管理腹腔镜胃切除术后复发的十二指肠茎泄漏.
- 为了突出逆行减压管插入的有效性,使用双气球内镜.
主要方法:
- 一名68岁的男性患者在经过拉皮镜胃切除术以Roux-en-Y重建后出现了反复的十二指肠茎泄漏和出血.
- 在失败的保守治疗和重新操作后,进行了线圈栓塞和猪尾导管插入.
- 用双气球内镜在十二指甲骨干附近插入一个逆行性阴茎管,用于减压和排水.
主要成果:
- 逆行解压管插入导致十二指甲骨干茎泄漏的减少.
- 患者经历了无事件的恢复,并在术后第47天出院.
- 取得了成功的1年9个月的随访.
结论:
- 这一案例代表了通过双气球内镜进行逆行解压管插入的首次成功应用,用于十二指肠茎泄漏.
- 这种内镜技术为管理复杂的胃切除术后并发症提供了一种可行的最小侵入性选择.
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