用内镜去除治疗的十二指肠植物:一个病例报告
James R Conomea1, Adam K Bobak1, Harthik Kambhampati1
1School of Medicine, Lake Erie College of Osteopathic Medicine, Bradenton, USA.
Cureus
|March 20, 2025
概括
由罕见的十二指肠植物病引起的胃出口阻塞 (GOO) 通过内镜切除成功治疗. 饮食修改解决了障碍,突出了GOO的不常见原因.
科学领域:
- 胃肠病学 胃肠病学
- 消化系统疾病 消化系统疾病
背景情况:
- 胃出口阻塞 (GOO) 是一种常见的疾病,影响近道胃肠道,经常出现恶心,吐和腹痛.
- 恶性是最常见的GOO原因,但非恶性原因,如胃肠,也可能发生,特别是在改变胃机动性的情况下.
研究的目的:
- 为了呈现一种罕见的GOO病例,由植物虫引起.
- 为了突出一个非同寻常的十二指肠部位为植物.
- 为了说明植物虫诱导的GOO的成功内镜管理和饮食修改.
主要方法:
- 一个47岁的男性出现GOO症状的病例报告.
- 诊断成像包括腹部X射线,CT扫描和上部内镜.
- 通过内镜去除植物.
主要成果:
- 一种非消化的植物物质质量 (phytobezoar) 被确定为十二指肠中GOO的原因.
- 通过内镜去除贝索亚,导致症状完全消失.
- 建议对饮食进行修改,以解决根本原因.
结论:
- 植物虫是一种罕见但重要的GOO病因,即使是在十二指肠等不寻常的地方.
- 内镜干预是一种有效的治疗无虫诱导的GOO.
- 饮食管理对于防止植物虫的复发至关重要.
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