用光镜指导切割尖异体的切除:一种替代性的手术方法
Abdulrahman Qatomah1,2, Simon McQueen3, Wafa Qatomah4
1Department of Gastroenterology and Hepatology McGill University, Montreal, QC, Canada.
Case reports in gastrointestinal medicine
|September 24, 2024
概括
摄入外体是很常见的,通常是自然的. 该案例详细介绍了一种新的光学导向切除方法,用于在内镜和手术不是选择时具有挑战性的小肠外体.
科学领域:
- 医学案例研究 医学案例研究
- 干预性放射学 干预性放射学
- 胃肠病学 胃肠病学
背景情况:
- 摄入外体 (FB) 是一个常见的临床问题.
- 大多数被摄入的FBs自发地通过;内镜去除是最小的侵入性.
- 手术干预很少需要去除FB.
研究的目的:
- 提出一个具有挑战性的异物移除案例.
- 当标准方法失败时,突出一种替代的,不那么侵入性的方法.
- 证明干预放射学在复杂病例中的实用性.
主要方法:
- 一名30岁的男性在胃和小肠中摄入了多个异物.
- 胃FB的内镜切除是成功的.
- 由于穿孔问题和之前的手术,小肠FB使用了采用干预放射学技术的光镜引导切除.
主要成果:
- 通过内镜成功去除胃外体.
- 通过光学指导和红外技术成功去除小肠外体.
- 避免手术干预,尽管复杂的表现.
结论:
- 通过干预性放射学进行光镜引导的切除为特定外体摄入病例提供了可行的,不那么侵入性的替代方案.
- 这种方法特别有用,当内镜或手术选择是禁忌或技术上具有挑战性时.
- 手术和干预放射学之间的多学科合作是管理复杂的FB摄入的关键.
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