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视频胶囊滞留:手术治疗的作用(病例报告)

Videocapsule retention: role of surgical treatment (a case report).

作者信息

Boufettal Rachid, Fahmi Yassine, Jai Saad Rifki, Chehab Farid

机构信息

General Surgery Department III, UHC Ibn Rochd, Casablanca, Morocco.

出版信息

Pan Afr Med J. 2015 Sep 23;22:64. doi: 10.11604/pamj.2015.22.64.4300. eCollection 2015.

Abstract

Video capsule endoscopy (VCE) is a safe innovative tool for investigating obscure gastrointestinal diseases. The capsule is usually excreted with faeces within 24-48 h. Retention of capsule rarely occurs, and it usually depends on the indication of VCE. Retention may long remain asymptomatic or manifest as subocclusif syndrome. Acute complications of retention are very rare but can be life-threatening illness. Surgical approach is considered effective to retrieve the retained capsule, treat the pathology responsible and prevent acute complications. We report the case of a 30 years old patient, followed for Crohn's disease. She received during the assessment reviewed by VCE that has been held for three months. The retention caused subocclusif symptoms of which had needed surgically procedure. Treatment consisted of remove the VCE and repair of stenosis of small bowel by stricturoplasty.

摘要

视频胶囊内镜检查(VCE)是一种用于调查不明原因胃肠道疾病的安全创新工具。胶囊通常在24 - 48小时内随粪便排出。胶囊滞留很少发生,通常取决于VCE的适应证。滞留可能长期无症状,或表现为亚梗阻综合征。滞留的急性并发症非常罕见,但可能是危及生命的疾病。手术方法被认为是取出滞留胶囊、治疗相关病变并预防急性并发症的有效方法。我们报告一例30岁克罗恩病患者的病例。在评估期间,她接受了为期三个月的VCE检查。滞留导致了亚梗阻症状,为此需要进行手术。治疗包括取出VCE并通过狭窄成形术修复小肠狭窄。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6060/4725649/4d6a71d1559c/PAMJ-22-64-g001.jpg

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