用内镜超声波引导的十二指腺复合囊进行十二指腺阻塞的十二指腺复合囊
Shuang Nie1, Lei Wang1, Shanshan Shen1
1Department of Gastroenterology, Affiliated Drum Tower Hospital, Medical School of Nanjing University, Nanjing, Jiangsu, China.
概括
内镜超声导向双胞胎结节术 (EUS-DJ) 为由十二指甲双胞胎复制囊引起的十二指甲阻塞提供了一种最少的侵入性解决方案. 这种技术成功地治疗了拒绝手术的患者,证明了其作为传统切除的替代品的潜力.
科学领域:
- 胃肠病学 胃肠病学
- 最少侵入性的手术
- 遗传异常是一种先天性异常.
背景情况:
- 十二指管重复是罕见的先天性异常,导致胃肠道阻塞.
- 手术切除是标准的,但内镜替代品正在出现.
- 用内镜超声波 (EUS) 引导的解显示出阻塞的前景.
研究的目的:
- 为了评估EUS引导的十二指关节切除术 (EUS-DJ) 的可行性和有效性,用于由于重复导致的十二指关节阻塞.
- 在一个拒绝手术的患者身上展示成功EUS-DJ的案例.
主要方法:
- 一名50岁的女性患有导致阻塞的十二指腺重复,接受了EUS-DJ.
- 在EUS的指导下,使用19尺针和光线对应的金属支架进行了双胞胎关绕道.
主要成果:
- 患者在术后第3天恢复了口服,并在第5天出院.
- 一个月的成像证实了支架的透度和液体积累的分辨率.
- 在3个月的随访期间,患者仍然没有症状.
结论:
- EUS-DJ是一种可行的和有效的最小侵入性选择,用于症状的十二指肠复制囊.
- 这种方法对不适合或拒绝接受手术的患者尤其有益.
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