由于胆管塑料支架而导致的十二指甲孔穿孔. 进行内镜管理
Mikel Fiallegas Cano1, Alberto Fernández-Atutxa1, María Navajas Laboa2
1Aparato Digestivo, Hospital Universitario de Galdakao, España.
Revista espanola de enfermedades digestivas
|November 19, 2024
概括
在为胰腺癌放置胆管支架后发生了十二指肠穿孔. 通过内镜切除支架和超视野剪贴 (OTSC) 关闭成功治疗了穿孔.
科学领域:
- 胃肠病学 胃肠病学
- 内視鏡外科手術 內視鏡外科手術
- 在瘤学瘤学.
背景情况:
- 胰腺头瘤通常需要胆道支架以缓解阻塞.
- 胆管支架放置后,诸如十二指甲孔穿孔等并发症可能会出现.
- 内镜干预越来越多地用于管理胃肠道并发症.
研究的目的:
- 报告胰腺癌的胆管支架插入后十二指肠穿孔的病例.
- 为了证明这种并发症的成功内镜治疗.
- 为了突显超视野剪辑 (OTSC) 系统的实用性.
主要方法:
- 一名患有胰腺头瘤的患者接受了塑料胆汁支架的安置.
- 患者出现了十二指甲孔穿孔,通过成像诊断.
- 内镜逆行胆血管细胞造影 (ERCP) 用于支架切除和OTSC应用用于穿孔关闭.
主要成果:
- 塑料胆道支架通过内镜成功被切除.
- 用OTSC装置有效地关闭了十二指甲孔.
- 患者经历了良好的结果,没有进一步的并发症.
结论:
- 十二指肠穿孔是胆道支架的罕见但严重的并发症.
- 用OTSC进行内镜治疗提供了最少侵入性和有效的治疗选择.
- 这种方法可以避免在某些特定情况下需要手术干预.
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