在阿喀拉西亚患者的气动扩张后进行穿孔的内镜支架放置
Amitjeet Singh Rekhraj1, Paul Belvis1, Rajvinder Singh1
1Department of Gastroenterology, Lyell McEwin Hospital, Elizabeth Vale, South Australia, Australia.
概括
内镜支架安置成功地治疗了大食道撕裂之后的气扩张. 这种最少的侵入性方法避免了手术,证明了这种罕见并发症的有效管理.
科学领域:
- 胃肠病学 胃肠病学
- 内镜检查是指内镜检查.
- 手术并发症 手术并发症
背景情况:
- 食道穿孔是一种罕见但严重的肺扩张并发症.
- 催化性食道撕裂需要迅速和有效的管理,以防止进一步的并发症.
研究的目的:
- 报告一个成功进行内镜治疗的大型阳性食道穿孔的案例.
- 突出内镜支架放置在治疗肺扩张后食道撕裂的疗效.
主要方法:
- 一名67岁的男性患有阿喀拉西亚,经历了气动气球扩张.
- 一个5厘米远部食道撕裂被识别并用一个完全覆盖的自我扩展金属支架被内镜固定进行治疗.
- 支持性护理包括无骨,鼻管养和静脉注射抗生素.
主要成果:
- 内镜支架有效地封闭了食道穿孔.
- 患者在血液动力学上保持稳定,没有败血症迹象,避免了手术干预.
- 胃食道撕裂的完全愈合在2周后切除支架后得到证实.
结论:
- 早期内镜支架安置与安全固定是一种可行和成功的治疗iatrogenic食道穿孔后的气动扩张为.
- 快速检测和关闭食道穿孔对于有利的结果至关重要.
- 常规的扩张后内镜检查可能会改善高风险阿喀拉西亚患者的治疗结果.
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