一个幽灵的胃上疼痛
De-Feng Li1, Yan-Hui Tian2, Rui-Yue Shi1
1Gastroenterology, Shenzhen People's Hospital, China.
Revista espanola de enfermedades digestivas
|May 20, 2024
概括
这项研究提出了一种新的内镜方法来治疗由尾石引起的慢性尾炎. 内镜逆行性尾炎治疗成功地去除了石头,在一个年轻的患者中解决了持续的上胃疼痛.
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
- 腹部成像 腹部成像 腹部成像
背景情况:
- 慢性上胃疼痛可能会使人衰弱,常规诊断通常会产生正常的结果.
- 怀疑成年人的尾炎,特别是没有典型的急性症状的尾炎,会带来诊断上的挑战.
- 此前对这个患者持续疼痛的治疗方法是无效的.
研究的目的:
- 描述一种最小侵入性内镜技术,用于管理导致慢性腹痛的尾石.
- 评估内镜逆行性尾炎治疗 (ERAT) 的疗效和安全性,用于治疗因尾炎引起的疑似尾炎.
主要方法:
- 一名16岁的女性患者经历了一年的间歇性上胃疼痛,接受了腹部CT,显示尾壁胀.
- 内镜逆行性尾炎治疗 (ERAT) 使用eyeMax范围和透明的帽子进行.
- 该程序涉及导航尾孔,通过灌清除尾炎,并驱逐石头.
主要成果:
- 腹部计算机断层扫描 (CT) 显示疑似尾炎与尾壁胀.
- 通过灌,ERAT成功地识别并移除了大量的尾石.
- 患者在手术后经历了表胃疼痛的完全消失,并在两天内出院.
结论:
- 内镜逆行性尾炎治疗 (ERAT) 是对导致慢性腹痛的尾石的可行且有效的治疗方法.
- 这种内镜方法为管理疑似尾炎的复杂病例提供了最少的侵入性替代方案.
- 通过ERAT成功驱逐石头导致了迅速的症状缓解和短暂的住院.
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