当支架迷路时,我们找到了一个方法:关于恢复迁移的食道支架的案例报告
Vinayak Venu1, Girish Bakhshi1, Aishwarya Dutt1
1General Surgery, Grant Government Medical College and Sir JJ Group of Hospitals, Mumbai, IND.
Cureus
|September 16, 2024
概括
耐火性良性食道狭窄可能具有挑战性. 这一案例突出显示了使用内镜检索和连续布吉扩张的迁移自扩张金属支架 (SEMS) 的成功管理,导致症状解决.
科学领域:
- 胃肠病学 胃肠病学
- 胃肠内镜检查 胃肠内镜检查
- 食道疾病 食道疾病
背景情况:
- 良性食道狭窄导致由于纤维化而导致的狭窄,原因包括GERD或手术等.
- 传统扩张在约10%的病例中失败,这导致考虑自扩张金属支架 (SEMS).
- SEMS有其局限性,包括迁移和超塑性组织反应,只有约33%的患者获得了持续的消化不良缓解.
研究的目的:
- 报告一种在良性食道狭窄中迁移的SEMS病例.
- 描述患有耐火性良性食道狭窄和迁移的SEMS的患者的管理.
- 为了说明内镜检索和连续布吉扩张在解决食障碍方面的有效性.
主要方法:
- 在SEMS插入后8个月,一个65岁的女性患有恶化的消化不良症,她被介绍了一个迁移的支架.
- 内镜检查显示了 SEMS 在胃中部和近端食道狭窄.
- 管理涉及内镜扩张,支架提取,以及随后的连续食道气管扩张,包括自我扩张.
主要成果:
- 迁移的SEMS成功地从胃中获取出来.
- 随着支架提取和连续扩张,患者的消症得到解决.
- 患者通过自行插入9毫米食道扩张器获得了持续的缓解.
结论:
- 通过内镜检索迁移的SEMS是可行的.
- 连续的食道扩张,包括患者的自我扩张,可以有效地管理阻断性良性食道狭窄症.
- 这种方法为患有复杂良性食道狭窄和SEMS并发症的患者提供了可行的替代方案.
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