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Updated: Jun 16, 2025
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Published on: November 15, 2024
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由小肠脂瘤引起的小肠出血 在血液透析患者中
Shunsuke Yamagishi1, Woodae Kang1, Masataka Shindate1
1Department of Hepato-Biliary-Pancreatic and Gastrointestinal Surgery, Ichikawa Hospital, International University of Health and Welfare School of Medicine, Chiba, Japan.
Case reports in gastroenterology
|August 15, 2024
概括
小肠脂瘤可能会导致显著的出血 (血). 手术切除是一种安全有效的治疗方法,即使对于有多种健康状况的老年患者,如血液透析或抗血小板治疗.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
- 诊断成像 诊断成像 诊断成像
背景情况:
- 小肠出血越来越多地被诊断为囊内镜的进步.
- 识别不清楚的胃肠道出血的来源可能是具有挑战性的.
研究的目的:
- 报告小肠脂瘤的病例,导致严重并发性疾病的患者的血.
- 突出囊内镜的诊断实用性和手术干预的安全性.
主要方法:
- 一个80岁的老妇人的病例介绍,患有血,缺血性心脏病,抗血小板治疗和血液透析时的功能衰竭.
- 诊断工作包括对比增强的计算机断层扫描,食管胃二透镜和结肠镜检查,随后进行囊内镜检查.
- 手术管理涉及腹腔镜去除小肠脂瘤,而不会中断抗血小板药物.
主要成果:
- 最初的内镜和放射学评估未能确定出血的来源.
- 囊内镜成功可视化了小肠瘤.
- 脂瘤的 laparoscopic 切除导致了病理确认和血症的解决,没有复发.
结论:
- 小肠脂瘤是导致血的潜在原因.
- 手术切除是小肠脂瘤的安全有效治疗方法,即使在高危患者中也是如此.
- 仔细的手术前评估和手术规划对于管理这些病例至关重要.
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