恶性肠道阻塞的息治疗与EUS导向的伊利奥西格莫伊多斯托米 - 一个案例报告
Sebastian Zundler1, Kerstin Wolff1, Moritz Leppkes1
1Medizinische Klinik 1, Universitätsklinikum Erlangen, Erlangen, Germany.
一种新型的内镜超声导向性静脉结节术成功地缓解了息性结直肠癌患者的小肠阻塞. 这种微创手术恢复了口腔营养,并改善了患者的健康状况.
科学领域:
- 胃肠病学 胃肠病学
- 干预性内镜检查是干预性的内镜检查.
- 在瘤学瘤学.
背景情况:
- 转移性结直肠癌可能导致复杂的胃肠道并发症.
- 小肠阻塞是晚期癌症中常见且令人衰弱的并发症.
- 在息患者中,外科干预可能是禁忌的.
研究的目的:
- 描述一种最少的侵入性内镜方法来管理完全的小肠阻塞.
- 为了评估内镜超声波导向肠结肠术在息环境中的疗效.
主要方法:
- 透视式超声波导向的静脉膜结节术,使用光线对立的金属支架.
- 结肠直肠方法绕过障碍物.
主要成果:
- 成功地恢复了肠道通道.
- 在24小时内恢复口服营养.
- 患者在三天后出现显著的临床改善后出院.
结论:
- 以内镜超声波引导的肠结肠术是一种可行且有效的治疗方法,用于缓解癌症患者的小肠完全阻塞.
- 这种技术为手术提供了一个不那么侵入性的替代方案,当手术干预不是一个选择时.
更多相关视频
07:44Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction
Published on: March 25, 2022
09:40An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function
Published on: April 17, 2020
相关概念视频
Inflammatory Bowel Disease V: Surgical Management
Here are some common surgical interventions for IBD:
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Peptic Ulcer Disease V: Surgical Management and Nursing Care
Surgical Interventions for Peptic Ulcer Disease
Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
Drugs for Treatment of Constipation-Predominant IBS
Drugs for Treatment of Diarrhea-Predominant IBS
Two specific drugs used in the treatment are alosetron (Lotronex) and eluxadoline (Viberzi). Alosetron, a 5-HT3 antagonist, works by slowing the movement of stools in the gut, reducing bowel...
