在食道内镜下粘膜切割过程中使用支架定方法成功进行穿孔管理:一个病例报告
Mai Utsumi1,2, Taro Iwatsubo2, Kazuki Takayama2
1Gastroenterology Center Hirakata Municipal Hospital Osaka Japan.
DEN open
|April 22, 2025
概括
一种新的技术使用支架定一个剪贴和线程成功治疗食道穿孔在内镜下粘膜剖析期间. 这种方法可以防止支架迁移和穿孔关闭,为不良事件提供了保守的治疗选择.
科学领域:
- 胃肠病学 胃肠病学
- 内镜检查是指内镜检查.
- 手术创新 在外科创新.
背景情况:
- 消化管内镜下粘膜切割 (ESD) 可能导致严重的不良事件,包括穿孔.
- 在ESD后进行穿孔的管理往往需要复杂的干预或紧急手术.
研究的目的:
- 描述一种用于管理ESD后食道穿孔的新方法.
- 为了评估一个完全覆盖的自扩展金属支架 (FCSEMS) 的疗效,用剪贴和线程固定.
主要方法:
- 一名67岁的男性患有超慢性表面食道癌,经历了ESD.
- 穿孔发生在ESD期间的挑战性病变;一个FCSEMS被放置.
- 使用带有线程的固定用于防止支架迁移并帮助穿孔闭合.
主要成果:
- 固定成功阻止了支架迁移.
- 该方法促进了穿孔封闭,并允许进行保守的管理.
- 患者在不需要紧急手术的情况下表现出临床改善.
结论:
- 支架安置与固定和线结合,是ESD后食道穿孔的可行的治疗选择.
- 这种技术为紧急手术提供了一个不那么侵入性的替代方案,用于管理ESD相关的穿孔.
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