西格体卷发症,有25次发作
Sabri Selcuk Atamanalp1, Esra Disci1, Rifat Peksoz1
1General Surgery, Faculty of Medicine. Ataturk University , Türkiye.
Revista espanola de enfermedades digestivas
|August 1, 2024
概括
这项案例研究突出显示了高风险患者中复发性西格体卷发 (SV) 的成功内学扭曲. 它强调了结肠镜扭曲作为西格体卷发症的可行的治疗选择.
科学领域:
- 胃肠病学 胃肠病学
- 结肠直肠手术 结肠直肠手术
- 医疗成像医学成像
背景情况:
- 西格体卷发 (SV) 是大肠阻塞的常见原因,特别是在老年患者中.
- 复发性西格体卷发症是一个管理挑战,通常需要手术干预.
- 这位患者有24次西格体卷发病例的病史,大多数是通过内镜成功治疗的.
研究的目的:
- 在医学上受损的患者中报告复发性sigmoid volvulus (SV) 的病例.
- 为了说明结肠镜扭曲的成功应用,西格体卷发症.
- 讨论高风险个体中西格体卷发症的替代管理策略.
主要方法:
- 腹部疼痛,膨胀和便秘的临床表现.
- 诊断成像包括腹部X射线 (咖啡豆标志) 和CT扫描 (中腔旋转标志).
- 治疗性结肠镜检查西格形结肠的内学扭曲.
主要成果:
- 一名74岁的男性出现了急性西格体卷发症的症状.
- 结肠镜扭曲成功进行,缓解了阻塞.
- 由于患者的高ASA得分 (4) 和并发症,建议进行皮肤内镜结肠直肠切除,但下降了.
结论:
- 内镜扭曲是对西格体卷发症的有效治疗方法,即使在复发的情况下.
- 在患有重大并发症的患者中,可以考虑非手术治疗,例如皮肤内镜结肠直肠术.
- 患者的偏好和共享决策对于管理西格体卷发症至关重要,特别是在高危人群中.
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