通过单气囊小肠镜检查发现并治疗的回肠静脉曲张出血。
Variceal bleeding from ileum identified and treated by single balloon enteroscopy.
作者信息
Traina Mario, Tarantino Ilaria, Barresi Luca, Mocciaro Filippo
机构信息
Istituto Mediterraneo Trapianti e Terapie ad Alta Specializzazione, Italy.
出版信息
World J Gastroenterol. 2009 Apr 21;15(15):1904-5. doi: 10.3748/wjg.15.1904.
Abstract
We report a case of acute uncontrolled gastrointestinal bleeding in a patient with liver cirrhosis. The upper and lower endoscopy were negative for bleeding lesions. We decided to perform the examination of the small bowel using single-balloon enteroscopy. The lower enteroscopy revealed signs of bleeding from varices of the ileum. In this report, we showed that the injection of a sclerosant solution can be accomplished using a freehand technique via the single balloon enteroscopy.
摘要
我们报告一例肝硬化患者急性失控性胃肠道出血的病例。上消化道和下消化道内镜检查均未发现出血病变。我们决定使用单气囊小肠镜对小肠进行检查。下消化道小肠镜检查发现回肠静脉曲张有出血迹象。在本报告中，我们展示了通过单气囊小肠镜徒手技术注射硬化剂溶液是可行的。
相似文献
1
Variceal bleeding from ileum identified and treated by single balloon enteroscopy.通过单气囊小肠镜检查发现并治疗的回肠静脉曲张出血。
World J Gastroenterol. 2009 Apr 21;15(15):1904-5. doi: 10.3748/wjg.15.1904.
2
[Ectopic varices in the terminal ileum causing gastrointestinal bleeding].[回肠末端异位静脉曲张导致胃肠道出血]
Ugeskr Laeger. 2015 Jun 22;177(26).
3
Acute ileal variceal hemorrhage secondary to esophageal sclerotherapy.食管硬化剂治疗后继发急性回肠静脉曲张出血
J Clin Gastroenterol. 1986 Oct;8(5):603-4. doi: 10.1097/00004836-198610000-00026.
4
Ectopic ileal varices associated with recurrent bleeding: report of a case.回肠异位性静脉曲张伴反复出血：病例报告。
Surg Today. 2011 Mar;41(3):448-52. doi: 10.1007/s00595-009-4285-1. Epub 2011 Mar 2.
5
Protein C deficiency related obscure gastrointestinal bleeding treated by enteroscopy and anticoagulant therapy.经肠镜检查及抗凝治疗的蛋白C缺乏相关不明原因胃肠道出血
World J Gastroenterol. 2015 Jan 21;21(3):1024-7. doi: 10.3748/wjg.v21.i3.1024.
6
Endovascular obliteration of bleeding duodenal varices in patients with liver cirrhosis.肝硬化患者十二指肠静脉曲张出血的血管内闭塞治疗
Eur Radiol. 2006 Jan;16(1):73-9. doi: 10.1007/s00330-005-2781-2. Epub 2005 Apr 26.
7
Successful treatment using balloon-assisted enteroscopy for jejunal loop variceal bleeding after pancreaticoduodenectomy.胰十二指肠切除术后空肠袢静脉曲张出血采用气囊辅助小肠镜治疗成功。
Endoscopy. 2023 Dec;55(S 01):E536-E537. doi: 10.1055/a-2037-5581. Epub 2023 Mar 17.
8
Ileal varices associated with recurrent bleeding in a patient with liver cirrhosis.一名肝硬化患者出现与反复出血相关的回肠静脉曲张。
J Gastroenterol. 1999 Apr;34(2):264-8. doi: 10.1007/s005350050255.
9
Is there still a role for intraoperative enteroscopy in patients with obscure gastrointestinal bleeding?在不明原因胃肠道出血的患者中，术中内镜检查是否仍有作用？
Rev Esp Enferm Dig. 2012 Apr;104(4):190-6. doi: 10.4321/s1130-01082012000400004.
10
Adhesion-related variceal hemorrhage following sclerosis of esophageal varices.
Arch Surg. 1988 Jan;123(1):94-5. doi: 10.1001/archsurg.1988.01400250104019.
引用本文的文献
1
Recurrent Ileal Variceal Bleeding as a Diagnostic and Therapeutic Challenge.复发性回肠静脉曲张出血：诊断与治疗挑战
Case Rep Gastrointest Med. 2022 Apr 26;2022:7072961. doi: 10.1155/2022/7072961. eCollection 2022.
2
Endoscopic Sclerotherapy with a Large Volume of High Concentration of Cyanoacrylate for Jejunal Variceal Bleeding bys Single-Balloon Enteroscopy.单气囊小肠镜下大剂量高浓度氰基丙烯酸酯内镜硬化治疗空肠静脉曲张出血
Medicina (Kaunas). 2018 Oct 9;54(5):68. doi: 10.3390/medicina54050068.
3
Duodenal plexiform fibromyxoma as a cause of obscure upper gastrointestinal bleeding: A case report.十二指肠丛状纤维黏液瘤作为不明原因上消化道出血的病因：一例报告
Medicine (Baltimore). 2017 Jan;96(1):e5883. doi: 10.1097/MD.0000000000005883.
4
Capsule Endoscopy for Portal Hypertensive Enteropathy.胶囊内镜检查在门静脉高压性肠病中的应用
Gastroenterol Res Pract. 2016;2016:8501394. doi: 10.1155/2016/8501394. Epub 2015 Dec 27.
5
Single incision laparoscopic surgery approach for obscure small intestine bleeding localized by CT guided percutaneous injection of methylene blue.CT引导下经皮注射亚甲蓝定位后采用单切口腹腔镜手术治疗不明原因小肠出血
Int J Surg Case Rep. 2014;5(12):1082-5. doi: 10.1016/j.ijscr.2014.06.020. Epub 2014 Oct 16.
6
Minimally invasive surgery for obscure idiopathic ileal varices diagnosed by capsule endoscopy and double balloon endoscopy: report of a case.胶囊内镜和双气囊内镜诊断不明原因特发性回肠静脉曲张的微创治疗：病例报告。
Surg Today. 2010 Nov;40(11):1088-92. doi: 10.1007/s00595-009-4180-9. Epub 2010 Nov 3.
7
Bleeding ileal varices: a rare cause of chronic anemia in liver cirrhosis.回肠静脉曲张出血：肝硬化患者慢性贫血的罕见原因。
Intern Emerg Med. 2011 Jun;6(3):271-3. doi: 10.1007/s11739-010-0466-6. Epub 2010 Oct 8.
本文引用的文献
1
Novel single-balloon enteroscopy for diagnosis and treatment of the small intestine: preliminary experiences.新型单气囊小肠镜用于小肠疾病的诊断与治疗：初步经验
Endoscopy. 2008 Jan;40(1):11-5. doi: 10.1055/s-2007-966976. Epub 2007 Dec 4.
2
Balloon-assisted enteroscopy using a single-balloon technique.使用单气囊技术的气囊辅助小肠镜检查。
Endoscopy. 2007 Feb;39 Suppl 1:E276. doi: 10.1055/s-2007-966616. Epub 2007 Oct 24.
3
The use of TIPS in chronic liver disease.经颈静脉肝内门体分流术在慢性肝病中的应用。
Ann Hepatol. 2006 Jan-Mar;5(1):5-15.
4
Ileal varices associated with recurrent bleeding in a patient with liver cirrhosis.一名肝硬化患者出现与反复出血相关的回肠静脉曲张。
J Gastroenterol. 1999 Apr;34(2):264-8. doi: 10.1007/s005350050255.
5
Transjugular intrahepatic portosystemic shunts for patients with active variceal hemorrhage unresponsive to sclerotherapy.经颈静脉肝内门体分流术治疗对硬化疗法无反应的活动性静脉曲张出血患者。
Gastroenterology. 1996 Jul;111(1):138-46. doi: 10.1053/gast.1996.v111.pm8698192.
6
Creation of transjugular intrahepatic portosystemic shunts with the wallstent endoprosthesis: results in 100 patients.使用Wallstent内支架创建经颈静脉肝内门体分流术：100例患者的结果
Radiology. 1993 May;187(2):413-20. doi: 10.1148/radiology.187.2.8475283.
7
The transjugular intrahepatic portosystemic stent-shunt procedure for variceal bleeding.经颈静脉肝内门体分流术治疗静脉曲张出血。
N Engl J Med. 1994 Jan 20;330(3):165-71. doi: 10.1056/NEJM199401203300303.
8
Variceal hemorrhage: a critical evaluation of survival analysis.静脉曲张出血：生存分析的批判性评估
Gastroenterology. 1982 May;82(5 Pt 1):968-73.
9
Prognostic factors in upper G.I. bleeding.上消化道出血的预后因素。
Endoscopy. 1986 May;18 Suppl 2:6-10. doi: 10.1055/s-2007-1018418.
10
Prevention of initial variceal hemorrhage.
Gastroenterol Clin North Am. 1992 Mar;21(1):149-61.
Zotero 插件