哈特曼逆转后反复出现的解剖漏洞:通过真空辅助内镜排水和转移成功管理
Ali Ghanem Al Masad1, Omar Reda Abdelmaksoud1
1Gastroenterology & Hepatology, King Khalid Hospital, Najran, Saudi Arabia.
ACG case reports journal
|February 6, 2026
概括
在哈特曼逆转术后,反复出现的静脉泄漏可能具有挑战性. 结合内镜真空辅助疗法和转向结肠直肠术成功治愈了一名患者,保持了肠道连续性,避免了永久性口腔.
科学领域:
- 胃肠病学 胃肠病学
- 结肠直肠手术 结肠直肠手术
- 最少侵入性手术的方法
背景情况:
- 在哈特曼逆转手术后,解剖管泄漏是显著的并发症.
- 对于经常发生的泄漏,有效的管理选择有限,往往需要进一步的侵入性程序.
研究的目的:
- 报告一个在哈特曼逆转后成功管理复发性静脉流的病例.
- 突出内镜真空辅助疗法 (EVAT) 的实用性,作为一种最少的侵入性救援选择.
主要方法:
- 一名27岁的女性患者在哈特曼病后逆转后出现了反复复发的门性泄漏.
- 治疗包括内镜真空辅助疗法和转向结肠直肠术的组合.
- 进行了连续的海绵交换,以促进腔塌和愈合.
主要成果:
- 结合疗法导致了感染的消失和颗粒组织的形成.
- 结直肠泄漏的完全治愈得到了实现.
- 患者避免了需要永久性静脉口腔或重复腹腔切除术.
结论:
- 透视真空辅助疗法作为一种有价值的,最小的侵入性方法,用于复发性结直肠泄漏.
- 这种技术可以有效地保持肠道连续性,并在复杂的手术病例中减少患者的发病率.
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