三十二个月大的多个十二指肠网被诊断在胃关节切换失败后,成功地用结合内镜治疗治疗了32个月大的多个十二指肠网
Naomi E B Tjaden1, Michael Acord2, Jane Minturn3
1Gastroenterology, Hepatology and Nutrition Children's Hospital of Philadelphia Philadelphia Pennsylvania USA.
JPGN reports
|November 29, 2024
概括
在接受化疗的儿科患者中,获得的肠道网被通过内镜干预成功治疗. 这一案例突出显示了一种罕见的并发症和对十二指肠网的有效治疗策略.
科学领域:
- 胃肠病学 胃肠病学
- 儿科瘤学 儿科瘤学
- 内視鏡外科手術 內視鏡外科手術
背景情况:
- 肠道网络,先天性或获得的,很少与成年人的化疗或NSAID相关.
- 对于儿科十二指肠网的内镜干预很少被描述.
- 获得的十二指腺网是接受化疗的儿科患者的潜在并发症.
研究的目的:
- 在接受化疗的儿科患者中描述了一种罕见的获得多个十二指肠网的病例.
- 详细说明化疗诱导的十二指腺网的诊断方法.
- 为了说明儿科十二指腺网的成功内镜治疗.
主要方法:
- 在G管交换失败后通过对比成像和内镜进行诊断.
- 连续食道胃管腺镜 (EGD) 程序.
- 内镜治疗包括气球扩张和切口治疗,用绝缘尖刀和阴道剪刀.
主要成果:
- 一名接受化疗的32个月大的患者出现了多个十二指腺网.
- 这位患者的病情是在胃口结节管切换失败后被诊断出来的.
- 成功的内镜治疗使患者能够容忍G管养.
结论:
- 化学疗法与NSAIDs和重复的管外伤相结合,可能会导致儿童获得的十二指管网.
- 内镜疗法,包括气球扩张和切口技术,对于儿科十二指腺网很有效.
- 这一案例扩大了对获得的肠道网络及其在儿科瘤学中的管理的理解.
相关概念视频
01:26Endoscopic Procedures V: ERCP
86
Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Patient...
86
01:29Endoscopic Procedures I: Esophagogastroduodenoscopy
69
An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
During an EGD, the endoscope can be used to:
69
01:28Esophageal Varices-II: Clinical Features and Management
46
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
46
01:26Esophageal Strictures-II: Clinical Features and Management
51
Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
51
01:28Endoscopic Procedures III: Video Capsule Endoscopy
78
Capsule endoscopy, or wireless or video capsule endoscopy, is a diagnostic procedure for examining the entire gastrointestinal tract. Patients swallow a capsule about the size of a vitamin tablet. The capsule is equipped with a transmitter, a battery, an LED light source, and a color video camera to capture images throughout the gastrointestinal tract. This procedure is particularly useful for diagnosing conditions such as Crohn's disease, ulcerative colitis, tumors, polyps, ulcers,...
78