通过内镜成功减少罕见的ESD后结肠内:一个病例报告
Shengyue Zhou1, Zhiyi Chen1, Yufei Hu1
1Department of Gastroenterology, Affiliated Jinhua Hospital, Zhejiang University School of Medicine, Jinhua, Zhejiang, China.
在内镜下切割 (ESD) 后,可以通过结肠镜进行治疗. 在没有肠道缺血的患者中,这种微创方法可以避免手术,从而使其完全康复.
科学领域:
- 胃肠病学和内镜
- 手术并发症
- 大肠直肠手术
背景情况:
- 结肠内肠切割是内镜下粘膜切割 (ESD) 后的一个罕见但严重的并发症.
- 目前的治疗方法包括保守措施,内缩和手术.
- 有效的管理策略对于患者的结果至关重要.
研究的目的:
- 在ESD后成功进行结肠内治疗的案例.
- 评估立即结肠镜减少的可行性和结果.
- 突出治疗这种并发症的潜在替代方案.
主要方法:
- 一个患有结肠腺瘤的病例报告.
- 通过对比增强计算机断层扫描 (CECT) 证实了静脉塞的诊断.
- 立即成功的结肠镜缩减,然后进行保守的治疗.
主要成果:
- 患者在ESD后出现了急性症状,诊断为结肠内.
- 结肠镜缩减在技术上是成功的,没有直接的并发症.
- 在3个月的随访期内,患者完全康复,没有复发.
结论:
- 内镜缩小是ESD后结肠静脉切割的可行的初级治疗方法.
- 在没有肠死或穿孔的情况中,这种方法可能是有效的.
- 成功的内镜治疗可能会避免手术的必要性.
更多相关视频
09:40An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function
Published on: April 17, 2020
08:26Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction
Published on: March 24, 2023
相关概念视频
Esophageal Strictures-II: Clinical Features and Management
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Endoscopic Procedures I: Esophagogastroduodenoscopy
During an EGD, the endoscope can be used to:
Endoscopic Procedures II: Colonoscopy
Endoscopic Procedures III: Video Capsule Endoscopy
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
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...
Endoscopic Procedures V: ERCP
Patient...
