回肠胆结石梗阻：单气囊小肠镜下取出术。
Ileal gallstone obstruction: Single-balloon enteroscopic removal.
作者信息
Heinzow Hauke Sebastian, Meister Tobias, Wessling Johannes, Domschke Wolfram, Ullerich Hansjoerg
机构信息
Hauke Sebastian Heinzow, Tobias Meister, Wolfram Domschke, Hansjoerg Ullerich, Department of Medicine B, University of Muenster, Muenster D48149, Germany.
出版信息
World J Gastrointest Endosc. 2010 Sep 16;2(9):321-4. doi: 10.4253/wjge.v2.i9.321.
Abstract
Gallstone-induced ileus is a rare complication of cholelithiasis. Since localization of gallstones impacted in the small bowel, especially in the ileum, prevents access by conventional endoscopy in most cases, the mainstay of treatment remains surgical. Recent invention of double- and single-balloon enteroscopy has added much to the ability of imaging the small bowel and enables endoscopically directed therapy. Herein, for the first time, we report a successful endoscopic calculus removal via peroral single-balloon enteroscopy in an 81-year-old woman suffering from gallstone ileus of the ileum.
摘要
胆石性肠梗阻是胆石症的一种罕见并发症。由于嵌顿在小肠尤其是回肠的胆结石定位，在大多数情况下妨碍了传统内镜检查的进行，因此治疗的主要手段仍然是手术。双气囊和单气囊小肠镜的最新发明大大增强了小肠成像能力，并使内镜引导下的治疗成为可能。在此，我们首次报告了一例通过经口单气囊小肠镜成功为一名患有回肠胆石性肠梗阻的81岁女性患者取出结石的病例。
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