用下道道内镜切除治疗的食道支气管囊:两个病例报告
Hui Sha1, Zong-Dan Jiang2,3
1Department of Gastroenterology, The People's Hospital of Yining, Xinjiang, China.
Journal of medical case reports
|April 2, 2024
概括
食道支气管囊虽然是良性的,但需要治疗以预防并发症. 粘膜下道内镜切除为这些罕见的食道病变提供了最少的侵入性选择.
科学领域:
- 胃肠病学 胃肠病学
- 胸部外科手术 胸部外科手术
- 内視鏡外科手術 內視鏡外科手術
背景情况:
- 食道支气管囊是罕见的,良性实体,如果不治疗,可能导致严重的并发症和复发.
- 早期诊断和干预对于治疗食道支气管囊至关重要,尤其是在没有治疗禁忌的情况下.
- 对于小而浅的病变,偏好使用内镜治疗,可减少创伤,加速恢复,降低成本.
研究的目的:
- 介绍一系列关于食道支气管囊管理的病例.
- 为了突出 submucosal 道化内镜切除内在食道病变的疗效.
主要方法:
- 治疗了两个食道支气管囊的病例.
- 下道内镜切除使用双刀进行.
- 囊的疏散和囊壁的切除是通过内镜用的血凝固来实现的.
主要成果:
- 成功去除位于内在肌肉层的食道支气管囊.
- 粘膜下道内镜切除技术促进了病变的去除.
结论:
- 食道支气管囊是罕见的,具有非特异性症状.
- 诊断方法有助于确定病变特征并指导治疗.
- 治疗选择 (手术与内镜) 应考虑病变的起源,大小和食道关系,以优化结果.
相关概念视频
Endoscopic Studies I: Bronchoscopy and Thoracoscopy
192
Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
192
Esophageal Strictures-II: Clinical Features and Management
69
Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
69
Esophageal Strictures-I: Introduction
90
Esophageal strictures involve abnormal narrowing or tightening of the esophagus. They vary in length and severity, ranging from mild constriction to complete obstruction, and are classified as benign (noncancerous) or malignant (cancerous).
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
90
Esophageal Perforation-II: Clinical Manifestations and Management
59
Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Clinical Manifestations:
59


