双气囊小肠镜治疗鳗鱼骨穿透小肠所致长期腹部不适
Double-balloon endoscopy for treatment of long-term abdominal discomfort due to small bowel penetration by an eel bone.
作者信息
Shibuya Tomoyoshi, Osada Taro, Asaoka Daisuke, Mori Hiroki, Beppu Kazuko, Sakamoto Naoto, Suzuki Satoko, Sai Jin Kan, Nagahara Akihito, Otaka Michiro, Ohkusa Toshifumi, Ogihara Tatsuo, Takada Yuzo, Watanabe Sumio
机构信息
Department of Gastroenterology, Juntendo University School of Medicine, Tokyo, Japan.
出版信息
Med Sci Monit. 2008 Oct;14(10):CS107-9.
BACKGROUND
Penetration of the GI tract by a fish bone was treated by laparotomy. DBE is a useful procedure for removal of a foreign body from the small bowel.
CASE REPORT
A 33-year-old male presented with bothersome postprandial fullness. He was diagnosed previously with functional dyspepsia, and had been treated with medication for 8 months with no success. During antegrade DBE, which was performed to rule out of small intestinal abnormalities, an eel bone found stuck in the jejunum was grasped with forceps and pulled out. Following removal of the bone, the patient's postprandial fullness ameliorated dramatically.
CONCLUSIONS
This is the first report of DBE-based diagnosis and treatment of a small bowel penetration by a fish bone.
背景
鱼骨穿透胃肠道曾通过开腹手术治疗。双气囊小肠镜检查（DBE）是从小肠取出异物的有效方法。
病例报告
一名33岁男性出现令人烦恼的餐后饱胀感。他之前被诊断为功能性消化不良，已接受药物治疗8个月但无效。在进行顺行性DBE以排除小肠异常的过程中，发现一根鳗鱼骨卡在空肠，用钳子夹住并拔出。取出骨头后，患者的餐后饱胀感显著改善。
结论
这是首例基于DBE诊断和治疗鱼骨穿透小肠的报告。
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