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婴儿空肠先天性膜性狭窄的内镜球囊扩张术。

Endoscopic balloon dilatation for congenital membranous stenosis in the jejunum in an infant.

作者信息

Mochizuki Kyoko, Obatake Masayuki, Kosaka Taiichiro, Tokunaga Takayuki, Eguchi Susumu, Kanematsu Takashi

机构信息

Division of Pediatric Surgery, Department of Surgery, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, 852-8501, Japan.

出版信息

Pediatr Surg Int. 2011 Jan;27(1):91-3. doi: 10.1007/s00383-010-2714-2.

DOI:10.1007/s00383-010-2714-2
PMID:20848289
Abstract

INTRODUCTION

As endoscopic equipment and instruments have improved, the indications for endoscopic treatment have also been extended. This report presents an applicable procedure of endoscopic balloon dilatation for an infant patient with congenital membranous stenosis in the jejunum.

METHODS

We used a 9-mm flexible endoscope and a through-the-scope multidiameter balloon catheter in the endoscopic treatment.

RESULTS

Dilatation was performed for dilatation diameters 10, 12, and 15 mm each for 2 min. After carrying out balloon dilatation, the endoscope could be smoothly inserted through the opening.

CONCLUSION

In upper jejunal stenosis, endoscopic balloon dilatation was minimally invasive and effective as a treatment modality.

摘要

引言

随着内镜设备和器械的改进,内镜治疗的适应证也得到了扩展。本报告介绍了一种适用于空肠先天性膜性狭窄婴儿患者的内镜球囊扩张术。

方法

在内镜治疗中,我们使用了一台9毫米的软性内镜和一根经内镜多直径球囊导管。

结果

分别以10毫米、12毫米和15毫米的扩张直径进行了2分钟的扩张。进行球囊扩张后,内镜能够顺利通过开口插入。

结论

在上段空肠狭窄中,内镜球囊扩张术作为一种治疗方式具有微创且有效的特点。

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本文引用的文献

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Decreased mortality but increased morbidity in neonates with jejunoileal atresia; a study of 114 cases over a 34-year period.空肠回肠闭锁新生儿死亡率降低但发病率增加:一项34年间114例病例的研究
J Pediatr Surg. 2009 Jan;44(1):217-21. doi: 10.1016/j.jpedsurg.2008.10.043.
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Modification of the endoscopic management of congenital duodenal stenosis.先天性十二指肠狭窄内镜治疗的改良
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Membranous duodenal stenosis: initial experience with balloon dilatation in four children.膜性十二指肠狭窄:4例儿童球囊扩张术的初步经验
先天性十二指肠蹼:内镜扩张治疗成功案例
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Endoscopic membranectomy with a high-frequency-wave snare/cutter for membranous stenosis in the upper gastrointestinal tract.
J Pediatr Surg. 2005 Sep;40(9):1486-8. doi: 10.1016/j.jpedsurg.2005.05.053.
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Endoscopic laser ablation of obstructing congenital duodenal webs in the newborn: a case report of limited success with criteria for patient selection.新生儿先天性十二指肠隔膜梗阻的内镜激光消融术:一例成功有限的病例报告及患者选择标准
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Endoscopic laser resection of a duodenal membrane.十二指肠隔膜的内镜激光切除术。
J Pediatr Surg. 1992 Dec;27(12):1582-3. doi: 10.1016/0022-3468(92)90516-a.