在低前切除后,通过静脉静脉切除的内镜真空治疗
Prashanth Rau1, Thomas Peponis1, Christopher Marshall1
1Division of Gastroenterology, UMass Chan Medical School, Worcester, Massachusetts, USA.
概括
内镜真空疗法 (EVT) 在门诊环境中有效治疗了下部胃肠道的解性解. 这种方法利用了结肠直肠,证明了在医院之外管理复杂的外科并发症的新应用.
科学领域:
- 胃肠病学 胃肠病学
- 手术创新 在外科创新.
- 治疗内镜治疗内镜
背景情况:
- 内镜真空疗法 (EVT) 是一种已被认可的胃肠 (GI) 穿孔和泄漏的治疗方法.
- 传统上,EVT应用于上部肠道,需要住院治疗.
- 这一案例探讨了在门诊环境下治疗下肠道瘤性并发症的EVT.
研究的目的:
- 为了呈现一个亚急性下肠道肠道解病变的病例,用EVT进行管理.
- 为了证明门诊EVT对于结直肠并发症的可行性.
- 突出突出创新性的使用结肠静脉作为一个管道为EVT.
主要方法:
- 一名73岁的患有直肠腺癌的女性患者接受了低前切除和结肠直肠切除.
- 患者出现了解静脉裂变和前阴部.
- 通过横向结肠直肠术将海绵放入腔,以启动EVT.
主要成果:
- 患者在整个治疗过程中都接受了门诊管理.
- 在60天的时间里,总共进行了18次灵活的西格莫多斯科比手术,以进行海绵交换.
- 在没有进一步的干预的情况下,成功地解决了前 sacral .
结论:
- 在门诊环境中,EVT可以有效地用于管理结肠直肠裂变.
- 在这种情况下,横向结肠静脉的存在促进了EVT的应用.
- 这一案例扩大了EVT的应用范围,用于 ambulatory care 中的下肠道动静脉并发症.
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