用鱼骨提取的食道液排水的内镜下粘膜剖析
Abel Joseph1, Linda Nguyen1, Joo Ha Hwang1
1Division of Gastroenterology and Hepatology, Department of Medicine, Stanford University, Stanford, California, USA.
概括
透视下粘膜切割 (ESD) 成功地从食道中移除了嵌入的鱼骨,排出了下粘膜. 这种微创技术为复杂的异物清除提供了安全有效的解决方案.
科学领域:
- 胃肠病学
- 最少侵入性的手术
- 内镜检查
背景情况:
- 通过粘膜下透摄入外来物质带来了重大的临床挑战.
- 及时诊断和干预对于治疗食道外体至关重要.
研究的目的:
- 展示一个成功的内镜下粘膜解剖 (ESD) 案例,以去除嵌入的鱼骨.
- 突出ESD在治疗粘膜下食道的有用性.
主要方法:
- 一名49岁的女性患有耳鼻, 接受了计算机断层扫描和食管胃口检查.
- 鉴定出下粘膜,并进行内镜下粘膜剖析 (ESD) 进行排水和异物检索.
主要成果:
- 使用ESD成功切除了鱼骨,没有直接或延迟的并发症.
- 手术后的治疗包括抗生素,质子抑制剂治疗和饮食改变.
- 随访食道图证实没有或.
结论:
- 这一案例强调了对疑似外体摄入的彻底内镜评估的重要性.
- 内镜下粘膜解剖 (ESD) 是表面食道和嵌入异物的一种安全有效的治疗选择.
相关概念视频
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Clinical Manifestations:
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