内镜超声波导向线圈 阻断性直肠dieulafoy出血的栓塞
Hugh D Mai1, Linoj Panicker1, Alexander Restrepo1
1Gastroenterology, Department of Veteran Affairs Health Care System, West Palm Beach, FL.
ACG case reports journal
|April 8, 2024
概括
由于Dieulafoy病变的复发性直肠出血很难治疗. 在一个具有挑战性的案例中,食动脉的内镜超声波导向线圈栓塞成功阻止了出血.
科学领域:
- 胃肠病学 胃肠病学
- 干预性内镜检查是干预性的内镜检查.
- 血管外科 血管外科
背景情况:
- 叶病变是一种罕见但重要的胃肠道出血的原因.
- 直肠叶病变,特别是靠近解的病变,由于其位置和复发的可能性,造成了治疗挑战.
- 传统的内镜疗法在困难位置的Dieulafoy病变中经常失败.
研究的目的:
- 报告第一个成功使用内镜超声波导向线圈栓塞治疗直肠Dieulafoy病变的结果.
- 展示一种新的内分泌疗法方法,用于管理由Dieulafoy病变引起的复发性下胃肠道出血.
主要方法:
- 使用内镜超声波 (EUS) 治疗一次复发性血病例,以确定直肠Dieulafoy病变的食动脉.
- 在EUS指导下进行了线圈栓塞,以封闭食动脉.
- 这项手术是在结肠直肠瘤的区域进行的.
主要成果:
- 成功识别并栓塞了供给Dieulafoy病变的食动脉.
- 在手术后停止复发的下胃肠道出血.
- 患者在干预后没有进一步的出血.
结论:
- 透视式超声波引导的线圈栓塞是一种可行且有效的治疗方法,用于反抗性直肠Dieulafoy病变.
- 这种技术为在具有挑战性的位置,如结肠直肠瘤,管理Dieulafoy病变提供了最少的侵入性选择.
- 需要进一步的研究来评估这种方法的长期疗效和安全性.
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