从无症状儿童的尾孔内显镜去除高功率磁铁
Jeanette Freeman1, Steven D Miller2, Brett J Hoskins3
1Department of Pediatrics The Johns Hopkins University School of Medicine Baltimore Maryland USA.
JPGN reports
|May 19, 2025
概括
在一个无症状的孩子身上,从尾中吸收的高功率磁铁的内镜去除可以预防尾炎. 这一案例凸显了在附录中考虑异体保留的重要性.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 最少侵入性的手术
背景情况:
- 摄入多个磁铁可能会导致严重的并发症,如异物尾炎.
- 尾炎发生在一个物体阻塞尾孔时,结果各不相同.
- 外科尾切除通常需要用于磁性诱导的尾炎.
研究的目的:
- 报告第一个成功内镜切除无症状儿童尾中的高功率磁铁的案例.
- 为了突出一个最少的侵入性方法,以防止尾炎从磁铁摄入.
- 在附件中强调外体保留的诊断考虑.
主要方法:
- 摄入的高功率磁铁的内镜检索.
- 诊断成像以确认磁铁在尾中的位置.
- 干预后对无症状儿科患者的监测.
主要成果:
- 在没有并发症的情况下,成功地通过内镜从尾中去除磁铁.
- 孩子仍然没有症状,避免了尾炎和手术.
- 证实磁铁未能通过右下象限.
结论:
- 尾外体的内镜切除是一种可行的,可能挽救生命的干预措施.
- 早期考虑异物留在儿科患者摄入磁铁中至关重要.
- 这种方法可以防止在特定情况下需要尾切除.
相关概念视频
Endoscopic Procedures V: ERCP
50
Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Patient...
50
Endoscopic Procedures III: Video Capsule Endoscopy
64
Capsule endoscopy, or wireless or video capsule endoscopy, is a diagnostic procedure for examining the entire gastrointestinal tract. Patients swallow a capsule about the size of a vitamin tablet. The capsule is equipped with a transmitter, a battery, an LED light source, and a color video camera to capture images throughout the gastrointestinal tract. This procedure is particularly useful for diagnosing conditions such as Crohn's disease, ulcerative colitis, tumors, polyps, ulcers,...
64
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
38
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
38
Appendicitis-II: Diagnostic Studies and Management
54
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
54
Appendicitis-I: Introduction
73
The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
73


