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由内镜下粘膜切割引起的急性肠道阻塞:一个病例报告

Qiang Zhang¹, Dan Hong², Yi-Chi Zhou²

¹Department of Gastroenterology, Beijing University of Chinese Medicine Shenzhen Hospital (Long Gang), Shenzhen 518000, Guangdong Province, China. e0314@bucm.edu.cn.

World journal of gastroenterology

|September 30, 2025

概括

急性肠道阻塞是内镜下粘膜解剖 (ESD) 后的罕见并发症. 早期诊断和警对于在ESD手术后管理这种可能危及生命的疾病至关重要.

科学领域:

胃肠病学胃肠病学
手术瘤学手术瘤学

背景情况:

内镜下粘膜切割 (ESD) 是一种针对肠道瘤的微创技术.
出血和穿孔是ESD的常见并发症.
肠道阻塞是一种罕见但严重的ESD并发症,经常被误诊.

研究的目的:

在ESD之后报告肠道阻塞病例.
为了强调识别和管理这种罕见并发症的重要性.

主要方法:

一个50岁男性的案例研究,他接受了ESD.
临床表现,诊断成像 (腹部放射) 和治疗 (禁食,抗生素,胃肠解压) 都被记录下来.
观察到症状改善和无事件恢复.

主要成果:

患者在术后第二天出现了肠道阻塞症状.
诊断得到证实,胃肠道减压导致症状改善.
随访成像显示了阻塞的解决,患者在术后第八天出院.

结论:

急性肠道阻塞是ESD后的一个罕见但关键的并发症.
延迟或错过诊断可能会危及生命.
临床医生必须在ESD后的患者中保持高度的阻塞怀疑指数.

关键词:

案例报告案例报告复杂化复杂化复杂化复杂化内镜下粘膜切割进行内镜下粘膜切割.障碍障碍障碍障碍障碍一个多的多.

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