胃腹腔血管外解症出血的病例,通过内镜下粘膜剖析治疗
Guoqiang Zhang1, Zhenguo Qiao2, Gang Wei1
1Gastroenterology, Affiliated Huishan Hospital of Xinglin College, Nantong University.
Revista espanola de enfermedades digestivas
|September 29, 2025
概括
胃腹腔血管解剖 (GAVE) 流血通过内镜下粘膜解剖 (ESD) 成功治疗. 这种方法涉及粘膜和粘膜下切除,为GAVE治疗提供了一个有希望的替代方案.
科学领域:
- 胃肠病学 胃肠病学
- 内視鏡外科手術 內視鏡外科手術
背景情况:
- 胃腹腔血管抽血 (GAVE) 是上部胃肠道出血的一个已知的原因.
- 以前的治疗方法,如血凝血 (APC),可能对GAVE无效.
研究的目的:
- 介绍一个GAVE病例,该病例已通过内镜下膜剖析 (ESD) 成功治疗.
- 评估GAVE治疗中ESD的疗效和复发情况.
主要方法:
- 一名患有耐火性GAVE出血的患者接受了两次ESD.
- 在手术过程中,粘膜层和粘膜下层都被切除了.
主要成果:
- 在ESD治疗的结果是令人满意的血液静止.
- 治疗后没有观察到GAVE出血的复发.
结论:
- 内镜下粘膜切割 (ESD) 是GAVE.的可行和有效的治疗选择.
- 与其他方法相比,ESD可能代表了GAVE的优越治疗模式.
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