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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.

DOI:10.3748/wjg.15.1904
PMID:19370792
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2670422/
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。

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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
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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.
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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.
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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
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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。
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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。
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本文引用的文献

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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
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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.
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Variceal hemorrhage: a critical evaluation of survival analysis.静脉曲张出血:生存分析的批判性评估
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Prevention of initial variceal hemorrhage.
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