相关实验视频
Updated: Sep 11, 2025

04:14
Author Spotlight: Recent Advancements in Reoperative Foregut Surgery
Published on: September 22, 2023
574
作为复杂的穿孔胃潰瘍的救援策略的内镜方法:一个案例报告
Juan M Reyes-Morales1, Yoeli M Escandon-Espinoza1, Katia D Lopez-Garcia1
1Gastrointestinal Endoscopy, Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado-Hospital Regional de Alta Especialidad Bicentenario de la Independencia, Tultitlan, MEX.
Cureus
|August 11, 2025
概括
本案例研究提出了一种新的内镜治疗方法,用于治疗手术治疗失败的穿孔胃潰瘍. 该技术成功控制了损伤,关闭了,恢复了营养,导致患者康复.
科学领域:
- 胃肠病学 胃肠病学
- 手术创新 在外科创新.
- 内镜手术 进行内镜手术
背景情况:
- 胃潰瘍穿孔是一種嚴重的胃腸合併症,患病率和死亡率高.
- 慢性皮质类固醇和非类固醇抗炎药物 (NSAIDs) 患者面临的风险增加.
- 穿孔的管理,特别是那些有并发症的,仍然具有挑战性.
研究的目的:
- 为了呈现复杂的穿孔胃的病例.
- 描述一种用于损害控制和营养恢复的替代性内镜救援方法.
- 为了说明在手术干预失败后,内镜技术的成功应用.
主要方法:
- 一名患有类风湿性关节炎的患者被诊断出一个穿孔的前列腺胃.
- 最初的手术干预由于组织死和腹膜炎而失败.
- 创建了一个受控的胃皮质囊,然后通过皮肤内镜胃口导管进行内镜替换,并关闭血栓.
主要成果:
- 内镜方法成功控制了胃皮质,并防止了进一步的泄漏.
- 肠道营养通过鼻导管恢复.
- 患者实现了临床康复,瘤解脱和令人满意的营养状况.
结论:
- 内镜技术为复杂的穿孔胃潰瘍提供了可行的救援选择,这些胃潰瘍耐受于手术.
- 这种方法有利于危重病患者的损害控制和营养支持.
- 高德勒-庞斯基技术和血应用证明了在管管理中的有效性.
相关概念视频
Peptic Ulcer Disease V: Surgical Management and Nursing Care
411
Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
Surgical Interventions for Peptic Ulcer Disease
411
Esophageal Perforation-II: Clinical Manifestations and Management
149
Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Clinical Manifestations:
149
Peptic Ulcer Disease IV: Management
146
Medical treatment strategies for peptic ulcers encompass various methods. The primary goal of treatment is to diminish gastric acidity and strengthen mucosal defense mechanisms.
The therapeutic approach involves ensuring adequate rest, implementing drug therapy, promoting smoking cessation, making dietary modifications, and emphasizing long-term follow-up care.
Pharmacological management
The prevailing therapy for peptic ulcers involves a combination of managing the patient's current...
The therapeutic approach involves ensuring adequate rest, implementing drug therapy, promoting smoking cessation, making dietary modifications, and emphasizing long-term follow-up care.
Pharmacological management
The prevailing therapy for peptic ulcers involves a combination of managing the patient's current...
146
Gastritis III: Clinical Manifestations and Management
476
The clinical manifestations of gastritis can vary depending on the cause and type of gastritis, but some common symptoms may include the following.
Clinical manifestations of acute gastritis
The patient with acute gastritis may have a rapid onset of symptoms, such as epigastric pain or discomfort, dyspepsia, anorexia, hiccups, or nausea and vomiting, which can last from a few hours to a few days. Erosive or hemorrhagic gastritis may cause bleeding, which may manifest as blood in vomit or as...
Clinical manifestations of acute gastritis
The patient with acute gastritis may have a rapid onset of symptoms, such as epigastric pain or discomfort, dyspepsia, anorexia, hiccups, or nausea and vomiting, which can last from a few hours to a few days. Erosive or hemorrhagic gastritis may cause bleeding, which may manifest as blood in vomit or as...
476
Esophageal Perforation-I: Introduction
169
Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
169
