内镜喷雾冷治疗出血 恶性入侵直肠西格莫体结肠
Jameel Alp1, Stuart K Amateau1,2
1Department of Medicine, University of Minnesota Medical School, Minneapolis, MN.
ACG case reports journal
|November 3, 2025
概括
一个患有复发性初级腹膜肺癌的患者的持续性直肠出血被通过内镜喷雾冷疗法成功治疗. 这种内镜治疗提供了持久的血液静止,在手术不可行时,为恶性瘤相关的出血提供了息选择.
科学领域:
- 胃肠病学 胃肠病学
- 在瘤学瘤学.
- 干预性内镜检查是干预性的内镜检查.
背景情况:
- 血,或直肠出血,可以源于各种胃肠道和全身疾病,包括结肠直肠癌.
- 恶性侵袭直肠直体可以导致持续和严重的直肠出血.
- 对直肠恶性瘤的手术可能不适合所有患者,特别是那些手术候选度不佳的患者.
研究的目的:
- 呈现一种持续性直肠出血的病例,其原因是复发性初级腹膜肺癌侵入直肠结肠.
- 评估内镜喷雾冷疗法作为恶性瘤相关直肠出血的息治疗在不适合手术的患者中的有效性.
- 突出内镜喷雾冷疗法在处理复杂的直肠出血病例中的潜在效用.
主要方法:
- 鉴定了一名74岁的女性患者,由于晚期直肠西格莫体结肠恶性瘤而导致持续的直肠出血.
- 内镜喷雾冷疗法在三个治疗疗程中进行.
- 在冷治疗干预后,对血液静止和患者结果进行了监测.
主要成果:
- 患者经历了持续的血液静止,经过三次内镜喷雾冷治疗.
- 治疗有效地管理了因恶性侵袭而导致的持续性直肠出血.
- 没有需要手术干预,证明了内镜方法的可行性.
结论:
- 内镜喷雾冷疗法是恶性瘤引起的直肠出血的可行和有效的息治疗方法.
- 这种模式为患有直肠恶性瘤相关出血的患者提供了有价值的替代方案,这些患者是不良的手术候选人.
- 该案例强调了内镜喷雾冷疗法在管理具有挑战性的胃肠道出血情景中的扩大作用.
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