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经内镜圈套夹闭术治疗胃皮肤瘘

Over-the-scope clip closure of gastrocutaneous fistula.

作者信息

Rodrigues-Pinto Eduardo, Pereira Pedro, Vilas-Boas Filipe, Macedo Guilherme

机构信息

Gastroenterology, Centro Hospitalar São João, Portugal.

Gastroenterology, Centro Hospitalar S. João, Portugal.

出版信息

Rev Esp Enferm Dig. 2016 Sep;108(9):578.

PMID:27615017
Abstract

A 35-year-old female patient, with Batten's disease, submitted to a surgical gastrostomy in 2005, and had it replaced in 2007, 2011 and 2014 with one with a filled balloon as its internal retention mechanism. In 2015, she presented to the emergency room due to stomal enlargement, leakage and chemical dermatitis and cellulitis. A 12 mm over-the-scope clip was placed, after anchoring the fistula edges with the twin grasper and suction of the defect into the applicator cap. Endoscopic resolution of the fistula was achieved.

摘要

一名35岁患有巴顿病的女性患者,于2005年接受了胃造口术,并在2007年、2011年和2014年进行了更换,更换后的胃造口管带有一个充满气的球囊作为内部固定装置。2015年,她因造口扩大、渗漏以及化学性皮肤炎和蜂窝织炎而前往急诊室就诊。在用双抓钳固定瘘口边缘并将缺损部位吸进施夹器帽后,放置了一个12毫米的内镜夹。瘘口通过内镜得到了解决。

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