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胃气球引起的急性胰腺炎:一个病例报告
György Gyimesi1,2, Fabienne Widmer3, Michael Christian Sulz1
1Department of Gastroenterology, Spital Thurgau AG, Münsterlingen, Switzerland.
AME case reports
|May 7, 2024
概括
肥胖症的胃内气球 (IGB) 治疗很少会导致急性胰腺炎. 及时诊断和管理,包括潜在的内镜切除,对于患者的康复至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 腹部外科 腹部外科
背景情况:
- 胃内气球 (IGB) 插入是对肥胖的公认治疗方法.
- 常见的副作用包括恶心,吐和腹痛.
- 急性胰腺炎是一种罕见但严重的并发症.
研究的目的:
- 在IGB插入后报告一种罕见的急性胰腺炎病例.
- 讨论潜在的病原和诊断方面的考虑.
- 为了突出这一并发症的管理策略.
主要方法:
- 介绍了一个28岁的妇女在IGB插入后患有急性胰腺炎的病例.
- 通过临床症状,血清学测试 (氨酶/脂酶) 和CT成像,诊断得到证实.
- 系统地排除了胰腺炎的其他原因.
主要成果:
- 患者在IGB插入9个月后出现了强烈的腹部上部疼痛.
- CT成像显示气球的填充导管在十二指肠中脱离.
- 通过内镜去除IGB,导致症状完全消失.
结论:
- 氨基酶/脂酶水平和成像是诊断胰腺炎在IGB后症状患者的必要条件.
- 发病可能涉及直接的胰腺压缩或十二指肠导管位移,阻塞乳头.
- 根据患者表现,内镜去除的决定应该是个性化的.
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