Cipolletta L, Bianco M A, Rotondano G, Marmo R, Piscopo R, Meucci C
Servizio di Gastroenterologia ed Endoscopia Digestiva, Ospedale Maresca, Torre del Greco, Naples, Italy.
Endoscopy. 2000 Sep;32(9):720-2. doi: 10.1055/s-2000-7032.
Two patients with small perforations occurring after endoscopic balloon dilation of esophagojejunal anastomotic strictures were treated conservatively using metal clips. Closure of the perforation was achieved in both cases, using one and two clips in a single session. There was no procedure-related morbidity and no patient developed complications. Patients were discharged from hospital on days 4 and 5, respectively. In patients with esophagojejunal anastomotic strictures, endoscopic treatment of postdilation perforation by metal clips is safe and effective.
两名食管空肠吻合口狭窄内镜球囊扩张术后出现小穿孔的患者采用金属夹进行保守治疗。两例均通过单次使用1枚和2枚金属夹实现了穿孔闭合。无手术相关并发症,患者均未出现其他并发症。患者分别于第4天和第5天出院。对于食管空肠吻合口狭窄患者,金属夹内镜治疗扩张后穿孔安全有效。