老年患者的胃肠内:一个罕见的病例
Eytan Mendelow1, Andrew Weinberger1, Michael Gorynski1
1Emergency Medicine, NYU Long Island.
The American journal of emergency medicine
|November 29, 2024
概括
胃肠塞,这是胃出口阻塞的罕见原因,在一名老年患者中诊断出. 图像和内镜检查显示出粘膜下质量,需要进一步调查瘤.
科学领域:
- 胃肠病学 胃肠病学
- 放射学 放射学是一门学科.
- 在瘤学瘤学.
背景情况:
- 胃肠内肠是一个不常见的疾病,导致胃出口阻塞.
- 它经常在老年人群中观察到.
- 症状包括表胃疼痛,恶心和吐.
研究的目的:
- 在一位老年女性中呈现胃肠内的病例.
- 讨论诊断挑战和治疗策略.
- 审查关于这种罕见疾病的现有文献.
主要方法:
- 计算机断层扫描 (CT) 扫描用于初步诊断.
- 内镜用于详细的可视化和活检.
- 对临床背景和结果的文献综述.
主要成果:
- 电图扫描证实了胃肠内.
- 内镜检查显示出一种下质体,暗示胃肠瘤 (GIST) 或胰腺休息.
- 这一案例突显出一种罕见的胃出口阻塞的表现.
结论:
- 胃肠肠接需要高度的怀疑指数,特别是在患有阻塞症状的老年患者中.
- 多式成像和内镜评估对于诊断至关重要.
- 准确的诊断对于适当的治疗规划和管理至关重要.
相关概念视频
01:15Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding
81
Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
81
01:30Esophageal Strictures-I: Introduction
65
Esophageal strictures involve abnormal narrowing or tightening of the esophagus. They vary in length and severity, ranging from mild constriction to complete obstruction, and are classified as benign (noncancerous) or malignant (cancerous).
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
65
01:21Inflammatory Bowel Disease V: Surgical Management
121
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
121
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
01:25Peptic Ulcer Disease V: Surgical Management and Nursing Care
231
Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
Surgical Interventions for Peptic Ulcer Disease
231
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