自扩张的金属支架用于缓解食道静脉的内镜注射后的狭窄
Fu-Long Zhang1, Jing Xu1, Yu-Hong Jiang1
1Department of Gastroenterology, Hangzhou Xixi Hospital, Hangzhou 310023, Zhejiang Province, China.
World journal of clinical cases
|October 7, 2024
概括
自扩张的金属支架 (SEMS) 显示出在内镜注射蓝酸盐 (CYA) 和食道变节硬化疗法后缓解食道收缩的潜力. 最佳的支架切除时间需要进一步调查.
科学领域:
- 胃肠病学 胃肠病学
- 内镜手术是一种内镜手术.
- 医疗器械应用 医疗器械应用
背景情况:
- 食道狭窄是食道静脉注射硬化疗法 (ESI) 的已知并发症,发生在2%-10%的病例中.
- 用于内镜注射的烯酸盐 (CYA) 用于食道静脉的治疗.
研究的目的:
- 评估自扩张金属支架 (SEMS) 在治疗CYA注射和食道变节硬化治疗后发生的食道收缩的有效性.
主要方法:
- 在2023年2月至6月期间,对4名接受SEMS治疗的患者进行了回顾性分析,以治疗术后食道收缩.
主要成果:
- 在SEMS安置后,所有四名患者都经历了收缩改善.
- 并发症包括在三名患者的食道粘膜中嵌入支架,在一名患者的胸部疼痛.
- 两名患者需要重新插入支架,原因是最初在一个月后取出支架后出现了复发性狭窄,而一名患者在三个月后取出支架后需要重新插入.
- 逆流性食道炎发生在三名患者中,用酸盐治疗;没有观察到食道穿孔,水出血或感染.
结论:
- 塞姆斯可以有效地缓解由CYA注射和食道静脉瘤的硬化疗法引起的食道狭窄.
- 需要进一步的研究来确定SEMS居住和移除的最佳持续时间,以尽量减少并发症.
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