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联合内镜技术治疗慢性手术后胃-皮肤瘘:病例报告及文献复习(附视频)。

Combined endoscopic techniques for closure of a chronic post-surgical gastrocutaneous fistula: case report and review of the literature (with video).

机构信息

Gastroenterology Department, Dar Alfouad Hospital, 26th of July St., 6th of October City, Giza 12568, Egypt.

出版信息

Surg Endosc. 2013 Aug;27(8):2967-70. doi: 10.1007/s00464-013-2839-1. Epub 2013 Feb 23.

DOI:10.1007/s00464-013-2839-1
PMID:23436089
Abstract

Several techniques have been proposed to seal post-operative leaks endoscopicaly, however, chronic fibrosed fistulas remain a tenacious problem. We describe the success of a combination of minimally invasive peroral endoscopic techniques to seal and permanently close a chronic gastrocutaneous fistula complicating a laparoscopic gastric bypass, these techniques included: fistuloscopy, argon plasma coagulation, mucosal stripping and the novel over-the-scope clips.

摘要

已经提出了几种内窥镜技术来密封术后漏口,然而,慢性纤维化瘘管仍然是一个棘手的问题。我们描述了一种微创经口内镜技术联合应用成功地封闭和永久关闭腹腔镜胃旁路术后并发的慢性皮胃瘘的病例,这些技术包括:瘘管镜检查、氩等离子凝固术、黏膜剥离术和新型内镜下夹闭器。

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本文引用的文献

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Successful closure of a chronic refractory gastrocutaneous fistula with a new endoscopic suturing device (with video).使用新型内镜缝合装置成功闭合慢性难治性胃皮肤瘘(附视频)
Gastrointest Endosc. 2012 Mar;75(3):688-90. doi: 10.1016/j.gie.2011.04.031. Epub 2011 Jul 18.
2
Benefit of a clipping device in use in intestinal bleeding and intestinal leakage.夹闭装置在肠道出血和肠道漏中的应用益处。
Gastrointest Endosc. 2011 Aug;74(2):389-97. doi: 10.1016/j.gie.2011.03.1128. Epub 2011 May 25.
3
Self-expandable metal stents for the treatment of benign upper GI leaks and perforations.
减重手术后漏口和瘘管的内镜治疗:一项系统评价和荟萃分析。
Surg Endosc. 2021 Mar;35(3):1067-1087. doi: 10.1007/s00464-020-07471-1. Epub 2020 Feb 27.
4
An Endoscopic Strategy Combining Mega Stents and Over-The-Scope Clips for the Management of Post-Bariatric Surgery Leaks and Fistulas (with video).一种结合大型支架和套扎器的内镜策略用于处理减重手术后的渗漏和瘘管(附视频)
Obes Surg. 2016 May;26(5):941-8. doi: 10.1007/s11695-015-1857-6.
5
Endoscopic closure of persistent gastrocutaneous fistula in children.儿童持续性胃皮肤瘘的内镜下闭合术
Pediatr Surg Int. 2015 Mar;31(3):277-81. doi: 10.1007/s00383-014-3646-z. Epub 2014 Dec 6.
自膨式金属支架治疗良性上消化道漏和穿孔。
Gastrointest Endosc. 2011 May;73(5):890-9. doi: 10.1016/j.gie.2010.12.019.
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Systematic review: temporary stent placement for benign rupture or anastomotic leak of the oesophagus.系统评价:用于食管良性破裂或吻合口瘘的临时支架放置。
Aliment Pharmacol Ther. 2011 Jun;33(12):1292-301. doi: 10.1111/j.1365-2036.2011.04663.x. Epub 2011 Apr 24.
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An endoscopic strategy for management of anastomotic complications from bariatric surgery: a prospective study.内镜策略在减重手术吻合口并发症管理中的应用:一项前瞻性研究。
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