在肠道重建后,双气球内镜检查十二指甲管分泌炎与结石:一个病例报告
Kai Toyoshima1, Yunosuke Takishin1, Kiko Toda1
1Department of Internal Medicine Wakkanai City Hospital Hokkaido Japan.
DEN open
|December 17, 2024
概括
本病例报告详细介绍了成功的非手术内镜去除一块石头冲击一个十二指肠分泌器在一个患者之前胃外科手术. 这种罕见的病症突出显示了十二指甲管分泌炎的新型治疗方法.
科学领域:
- 胃肠病学和肝病学
- 手术病例报告 手术病例报告
- 内镜手术 进行内镜手术
背景情况:
- 小肠分泌炎是常见的,但十二指肠分泌炎与石头冲击的治疗缺乏标准化.
- 十二指甲管分泌炎,特别是结石,非常罕见,带来诊断和治疗方面的挑战.
- 以前的胃部手术,如Roux-en-Y重建,可以使十二指肠病理的管理复杂化.
研究的目的:
- 在胃切除术后的患者中报告一例罕见的带有石头冲击的十二指甲管分泌炎.
- 描述使用内镜石头去除的成功非手术治疗.
- 审查关于治疗这种罕见疾病的文献,并将双气球内镜作为可行的选择.
主要方法:
- 增强型计算机断层扫描 (CT) 确定了十二指肠内胀性壁厚.
- 对被诊断出十二指甲管分泌炎的初始抗生素治疗被证明是无效的.
- 使用双气球内镜进行内镜石头去除作为非手术干预.
主要成果:
- 成功地通过内镜从十二指肠分离体中移除受影响的石头.
- 术后的对比研究揭示了十二指腺 papillary diverticulum 的对侧侧侧的状管形成.
- 患者成功接受治疗,并在手术后的第17天出院.
结论:
- 带有结石的十二指甲管分泌炎是一种极其罕见的临床实体.
- 非手术内镜石头去除,特别是双气球内镜,可以是一个有效的治疗策略.
- 这一案例代表了第一个成功治疗十二指甲 diverticulitis与结石使用双气球内镜的成功案例.
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