把那个泡打破. 从摄入的胃内气球中穿孔胃:一个案例报告
Miriam Martinez1, Khristopher Faiss1, Neha Sehgal1
1Texas Tech University Health Sciences Center at El Paso, Department of Emergency Medicine, El Paso, Texas.
Clinical practice and cases in emergency medicine
|December 20, 2024
概括
可吞的减肥气球在国际上使用,但在美国尚未获得FDA批准. 一份病例报告详细介绍了一名在国外用这种设备治疗的患者的胃穿孔并发症.
科学领域:
- 胃肠病学 胃肠病学
- 腹部外科 腹部外科
- 医疗器械 医疗器械
背景情况:
- 肥胖影响了40%以上的美国人,造成了大量的医疗保健费用.
- 有各种减肥干预措施,包括改变生活方式,药物和手术.
- 国际上可以获得新的可摄入胃内气球,但在美国还没有.
研究的目的:
- 在摄入胃内气球后报告胃穿孔病例.
- 为了突出美国医生遇到的减肥气球的潜在并发症.
主要方法:
- 一份病例报告显示,一名31岁的肥胖男性出现腹部疼痛.
- 诊断工作显示胃穿孔.
- 治疗涉及到出现的探索性腹腔切除术.
主要成果:
- 在墨西哥,患者在摄入减肥气球后大约10周经历了胃穿孔.
- 穿孔需要紧急手术干预.
结论:
- 紧急医生可能会遇到由可摄入减肥气球引起的并发症,尽管它们在美国不存在.
- 意识到潜在的不良事件对于及时诊断和管理至关重要.
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