用对比增强的内镜超声波用于胃肠道复制囊:病例报告
Todor Angelov1, Stanislav Churchev1, Georgi Jelev1
1Department of Gastroenterology, University Hospital "Tsaritsa Yoanna - ISUL", Medical University of Sofia, 1527 Sofia, Bulgaria.
British journal of hospital medicine (London, England : 2005)
|February 28, 2026
概括
增强对比的内镜超声波 (CE-EUS) 有助于诊断胃肠道重复囊. 无症状病例可以通过监视进行保守的管理,为症状呈现保留手术.
科学领域:
- 胃肠病学 胃肠病学
- 遗传异常是一种先天性异常.
- 诊断成像 诊断成像 诊断成像
背景情况:
- 胃肠道复制囊是一种罕见的先天性异常.
- 发现往往是偶然的,无症状病例的管理是有争议的,因为恶性潜在的.
- 需要最佳的诊断和管理策略.
研究的目的:
- 突出对比度增强内镜超声波 (CE-EUS) 的诊断实用性.
- 讨论无症状胃肠道重复囊的管理策略.
- 介绍一个案例研究,说明CE-EUS在诊断和监测方面.
主要方法:
- 介绍了一个54岁女性患有无症状亚皮质病变的病例.
- 内镜超声波 (EUS) 显示了一个"肠道签名标志".
- 与对比度增强的EUS (CE-EUS) 通过显示仅限于囊壁的增强来证实诊断.
主要成果:
- 在两年的时间里,连续的EUS没有显示病变大小或特征的变化.
- 患者仍然无症状,没有恶性转变的迹象.
- 在诊断重复囊方面,CE-EUS证明有效.
结论:
- CE-EUS是胃肠道重复囊的安全有效的诊断工具,可以替代EUS导向活检.
- 建议对无症状病变进行保守的管理,并进行EUS监测.
- 外科干预应保留在症状病例中,并根据个体患者和病变特征量身定制的管理.
相关概念视频
01:25Ultrasound II: Endoscopic Ultrasound and FibroScan
Endoscopic Ultrasound (EUS) and FibroScan are valuable diagnostic tools in gastroenterology and hepatology, each with specific applications and techniques.
Endoscopic Ultrasound (EUS):
Endoscopic Ultrasound (EUS):
01:28Endoscopic Procedures III: Video Capsule Endoscopy
Capsule endoscopy, or wireless or video capsule endoscopy, is a diagnostic procedure for examining the entire gastrointestinal tract. Patients swallow a capsule about the size of a vitamin tablet. The capsule is equipped with a transmitter, a battery, an LED light source, and a color video camera to capture images throughout the gastrointestinal tract. This procedure is particularly useful for diagnosing conditions such as Crohn's disease, ulcerative colitis, tumors, polyps, ulcers, unexplained...
01:26Endoscopic Procedures V: ERCP
Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Patient...
01:28Urologic Endoscopic Procedure: Cystoscopic Examination
Meaning of Cystoscopic Examination:Cystoscopy is an essential diagnostic tool in urology that is used to assess the structure and function of the genitourinary system. It provides a direct view of the urethra, bladder, and, in some cases, the ureteral openings. This procedure helps detect structural abnormalities, infections, cancers, and blockages in the urinary tract. There are two types of cystoscopy:Flexible cystoscopy is commonly performed in outpatient settings due to its less invasive...