患有免疫抑制患者的冷鼻多角切除术后质结肠炎:一个病例报告
Karen Kimura1, Chikamasa Ichita1, Chihiro Sumida1
1Gastroenterology Medicine Center, Shonan Kamakura General Hospital, Kamakura, Japan.
Case reports in gastroenterology
|March 8, 2024
概括
寒冷陷多角切除术 (CSP) 通常是安全的,但这种病例显示了免疫抑制患者罕见的粘膜下. 对于接受CSP的高风险个体,建议谨慎使用和预防性抗生素.
科学领域:
- 胃肠病学 胃肠病学
- 内視鏡外科手術 內視鏡外科手術
- 免疫学 免疫学 免疫学
背景情况:
- 冷陷多角切除术 (CSP) 是一种常见的内镜手术,用于切除结肠直肠多.
- 脑脊髓炎通常与低风险的并发症有关.
- 免疫抑制患者在内镜手术后可能面临更高的不良事件风险.
研究的目的:
- 报告一个罕见的CSP之后的下的病例.
- 突出CSP在免疫抑制患者中的潜在风险.
- 讨论高风险个体的预防措施.
主要方法:
- 一个78岁的男性患者的病例介绍,他接受了CSP.
- 诊断工作包括超声波和计算机断层扫描 (CT).
- 活检用于诊断和随后的抗生素治疗.
主要成果:
- 患者在CSP后8天出现了发烧,寒和腹痛.
- 图像检测显示,上升的结肠壁变厚和排泄.
- 这名患者被诊断出患有性结肠炎和慢性髓性单细胞白血病 (CMML).
结论:
- 下是一种罕见但严重的CSP并发症,特别是在免疫抑制患者中.
- 建议在患有CMML和糖尿病等疾病的患者进行CSP时谨慎行事.
- 彻底的肠道准备和预防性抗生素可以降低高风险患者的风险.
相关概念视频
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
84
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...
84
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
Chronic Pharyngitis
2.1K
Chronic pharyngitis refers to persistent inflammation of the pharyngial mucosa.
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
2.1K
Endoscopic Procedures II: Colonoscopy
94
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:
94
Inflammatory Bowel Disease I: Ulcerative Colitis
184
Introduction
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
184
Drugs for Treatment of Ulcerative Colitis in IBD
141
Ulcerative colitis is a chronic inflammatory condition primarily affecting the colon and rectum. The primary drugs used in the treatment of ulcerative colitis are aminosalicylates. They exhibit anti-inflammatory and immunosuppressive properties. They modulate inflammatory mediators and inhibit the activity of nuclear factor κB (NF-κB). Aminosalicylates also reduce inflammation by inhibiting prostaglandin and leukotriene production and decreasing neutrophil chemotaxis and superoxide...
141


