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食管支架置入术作为儿童医源性食管穿孔的一种治疗选择。

Esophageal stent placement as a therapeutic option for iatrogenic esophageal perforation in children.

作者信息

Ahmad Alsafadi, Wong Kee Song Louis M, Absah Imad

机构信息

Pediatrics and Adult Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN, USA.

Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN, USA.

出版信息

Avicenna J Med. 2016 Apr-Jun;6(2):51-3. doi: 10.4103/2231-0770.179552.

DOI:10.4103/2231-0770.179552
PMID:27144142
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4849189/
Abstract

Iatrogenic esophageal perforation (IEP) is a potentially serious adverse event of interventional endoscopy. The approach to IEP varies from surgical repair for large perforations to conservative treatment for small contained perforations. We report a case of an 18-month-old girl with congenital esophageal stenosis suffering a large esophageal perforation after a trial of stricture dilatation, which was successfully managed by the placement of fully covered stent. Hence, in selected cases, esophageal stent placement is a feasible alternative to invasive surgery in managing IEP.

摘要

医源性食管穿孔（IEP）是介入性内镜检查中一种潜在的严重不良事件。IEP的治疗方法从大穿孔的手术修复到小的局限性穿孔的保守治疗各不相同。我们报告一例18个月大患有先天性食管狭窄的女孩，在进行狭窄扩张试验后发生了大的食管穿孔，通过放置全覆膜支架成功治愈。因此，在某些特定病例中，食管支架置入术是治疗IEP的一种可行的替代侵入性手术的方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c4b/4849189/d1b600af9ce4/AJM-6-51-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c4b/4849189/e89e2dedb717/AJM-6-51-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c4b/4849189/7567fe7516c3/AJM-6-51-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c4b/4849189/abf3f6d1b7ce/AJM-6-51-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c4b/4849189/d1b600af9ce4/AJM-6-51-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c4b/4849189/e89e2dedb717/AJM-6-51-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c4b/4849189/7567fe7516c3/AJM-6-51-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c4b/4849189/abf3f6d1b7ce/AJM-6-51-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c4b/4849189/d1b600af9ce4/AJM-6-51-g004.jpg

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本文引用的文献

1
Characteristics and management of congenital esophageal stenosis: findings from a multicenter study.先天性食管狭窄的特征和处理：多中心研究的结果。
Orphanet J Rare Dis. 2013 Dec 1;8:186. doi: 10.1186/1750-1172-8-186.
2
Fully covered self-expandable metal stents (SEMS), partially covered SEMS and self-expandable plastic stents for the treatment of benign esophageal ruptures and anastomotic leaks.完全覆膜自膨式金属支架、部分覆膜自膨式金属支架和自膨式塑料支架治疗良性食管破裂和吻合口瘘。
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先天性食管狭窄的内镜治疗。
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Comparison among the perforation rates of Maloney, balloon, and savary dilation of esophageal strictures.食管狭窄的马洛尼扩张术、球囊扩张术和沙瓦里扩张术穿孔率的比较。
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