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内镜下使用Hemoclips 和 Endoloops 夹闭结直肠癌患者结肠瘘:两例报告

Endoscopic closure of colonic fistulas in colon cancer patients using a combination of hemoclips and endoloops: two case reports.

机构信息

Division of Gastrointestinal and General Surgery, Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan.

出版信息

Tech Coloproctol. 2014 Feb;18(2):205-8. doi: 10.1007/s10151-011-0793-2. Epub 2011 Nov 29.

DOI:10.1007/s10151-011-0793-2
PMID:22124764
Abstract

Chronic colon fistulas, which commonly result from operative complications, are generally managed surgically. We present an endoscopic technique of fistula closure that involves the combined use of hemoclips and endoloops. Two consecutive patients with colonic fistulas that were refractory to conservative treatment were successfully managed with this new endoluminal technique. This minimally invasive treatment modality affords accurate localization of the fistula orifice and results in a low mortality and morbidity rates.

摘要

慢性结肠瘘通常由手术并发症引起,一般采用手术治疗。我们介绍一种内镜下的瘘口闭合技术,该技术涉及使用血管夹和内镜套扎器。连续 2 例经保守治疗无效的结肠瘘患者成功地采用了这种新的内镜技术进行治疗。这种微创治疗方法能够准确定位瘘口,并具有较低的死亡率和发病率。

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1
Endoscopic closure of colonic fistulas in colon cancer patients using a combination of hemoclips and endoloops: two case reports.内镜下使用Hemoclips 和 Endoloops 夹闭结直肠癌患者结肠瘘:两例报告
Tech Coloproctol. 2014 Feb;18(2):205-8. doi: 10.1007/s10151-011-0793-2. Epub 2011 Nov 29.
2
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Endoscopy. 2005 Dec;37(12):1258. doi: 10.1055/s-2005-921153.
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[A favorable treatment outcome in a patient with cancer of the transverse colon with a stomach-colon-skin fistula combined with intestinal obstruction].[一名患有横结肠癌且伴有胃结肠皮肤瘘合并肠梗阻患者的良好治疗结果]
Vestn Khir Im I I Grek. 1994 May-Jun;152(5-6):63-4.
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本文引用的文献

1
Endoscopic treatment of gastrointestinal fistulas using an over-the-scope clip (OTSC) device: case series from a tertiary referral center.经内镜使用上消化道夹(OTSC)装置治疗胃肠道瘘:来自三级转诊中心的病例系列。
Endoscopy. 2011 Jun;43(6):545-8. doi: 10.1055/s-0030-1256196. Epub 2011 Mar 15.
2
Endoscopic-assisted closure of a chronic colocutaneous fistula.内镜辅助下慢性结肠皮肤瘘的闭合术。
Gastrointest Endosc. 2010 Sep;72(3):662-4. doi: 10.1016/j.gie.2009.12.028. Epub 2010 Apr 24.
3
Endoscopic closure of acute iatrogenic perforations during diagnostic and therapeutic endoscopy in the gastrointestinal tract using metallic clips: a literature review.
经内镜使用金属夹闭合胃肠道诊断和治疗内镜检查中急性医源性穿孔:文献综述。
J Dig Dis. 2010 Feb;11(1):12-8. doi: 10.1111/j.1751-2980.2009.00414.x.
4
Iatrogenic rectal perforation during operative colonoscopy: closure with endoluminal clips.手术结肠镜检查期间的医源性直肠穿孔:用腔内夹闭器闭合
JSLS. 2009 Jan-Mar;13(1):69-72.
5
Our experience with endoscopic repair of large colonoscopic perforations and review of the literature.我们内镜修复大肠结肠镜穿孔的经验及文献综述。
Tech Coloproctol. 2008 Dec;12(4):315-21; discussion 322. doi: 10.1007/s10151-008-0442-6. Epub 2008 Nov 18.
6
Endoscopic repair of a large colonoscopic perforation with clips.使用夹子进行内镜下修复大肠镜穿孔。
Surg Endosc. 2008 Sep;22(9):2072-4. doi: 10.1007/s00464-008-9782-6. Epub 2008 Jul 2.
7
An over-the-scope clip (OTSC) system for closure of iatrogenic colon perforations: results of an experimental survival study in pigs.一种用于闭合医源性结肠穿孔的圈套夹(OTSC)系统:猪实验性生存研究结果
Endoscopy. 2008 Jul;40(7):584-8. doi: 10.1055/s-2008-1077354. Epub 2008 Jun 3.
8
Endoclipping of iatrogenic colonic perforation to avoid surgery.采用内镜下夹闭术治疗医源性结肠穿孔以避免手术。
Surg Endosc. 2008 Jun;22(6):1500-4. doi: 10.1007/s00464-007-9682-1. Epub 2007 Dec 11.
9
Endoscopic closure of fecal colo-cutaneous fistula by using metal clips.使用金属夹内镜下闭合粪性结肠皮肤瘘
Surg Laparosc Endosc Percutan Tech. 2007 Oct;17(5):447-51. doi: 10.1097/SLE.0b013e3180dc9392.
10
Endoloop-assisted polypectomy for large peduncolated colorectal polyps.内镜圈套辅助切除大型带蒂结直肠息肉
Surg Endosc. 2007 Sep;21(9):1676-7. doi: 10.1007/s00464-007-9426-2.