用夹子治疗内镜下括约肌切开术后继发的十二指肠穿孔。
Treatment of a duodenal perforation secondary to an endoscopic sphincterotomy with clips.
作者信息
Katsinelos Panagiotis, Paroutoglou George, Papaziogas Basilios, Beltsis Athanasios, Dimiropoulos Stavros, Atmatzidis Konstantinos
机构信息
Department of Endoscopy and Motility Unit, "G.Gennimatas" Hospital, Ethnikis Aminis 41, 54635 Thessaloniki, Greece.
出版信息
World J Gastroenterol. 2005 Oct 21;11(39):6232-4. doi: 10.3748/wjg.v11.i39.6232.
Abstract
Perforation is one of the most serious complications of endoscopic sphincterotomy (ES) necessitating immediate surgical intervention. We present a case of successful management of such a complication with endoclipping. A 85-year-old woman developed duodenal perforation after ES. The perforation was identified early and its closure was achieved using three metallic clips in a single session. There was no procedure-related morbidity or complications and our patient was discharged from hospital 10 d later. Endoclipping of duodenal perforation induced by ES is a safe, effective and alternative to surgery treatment.
摘要
穿孔是内镜括约肌切开术（ES）最严重的并发症之一，需要立即进行手术干预。我们报告一例通过内镜夹闭成功处理该并发症的病例。一名85岁女性在ES术后发生十二指肠穿孔。穿孔被早期发现，并在一次操作中使用三个金属夹实现了闭合。没有与手术相关的发病率或并发症，我们的患者在10天后出院。ES引起的十二指肠穿孔的内镜夹闭是一种安全、有效的手术替代治疗方法。
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