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一种用于治疗Zenker憩室切除术后发生的纵隔脓肿的内镜鼻纵隔入路。

An Endoscopic Nasomediastinal Approach to a Mediastinal Abscess Developing after Zenker's Diverticulectomy.

作者信息

Altintoprak Fatih, Gundogdu Kemal, Eminler Ahmet Tarik, Parlak Erkan, Cakmak Guner, Uzunoglu Mustafa Yener

机构信息

Department of General Surgery, Faculty of Medicine, Sakarya University, Sakarya, Turkey.

Department of General Surgery, Sakarya University Research and Educational Hospital, Sakarya, Turkey.

出版信息

Case Rep Gastrointest Med. 2017;2017:8726706. doi: 10.1155/2017/8726706. Epub 2017 Aug 2.

DOI:10.1155/2017/8726706
PMID:28831318
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5558635/
Abstract

Zenker's diverticulum is the most frequent symptomatic diverticulum of the esophagus, but the prevalence is <0.1%. The optimal treatment is surgery. Here, we present a nasomediastinal drainage approach to treatment of a mediastinal abscess, developing in the late postoperative period and attributable to leakage from the staple line.

摘要

Zenker憩室是食管最常见的有症状憩室，但患病率<0.1%。最佳治疗方法是手术。在此，我们介绍一种鼻纵隔引流方法，用于治疗术后晚期发生的、由吻合钉线渗漏引起的纵隔脓肿。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4274/5558635/5c1de1aa9a7e/CRIGM2017-8726706.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4274/5558635/fc2344fe60c6/CRIGM2017-8726706.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4274/5558635/b97612cbc23c/CRIGM2017-8726706.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4274/5558635/5c1de1aa9a7e/CRIGM2017-8726706.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4274/5558635/fc2344fe60c6/CRIGM2017-8726706.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4274/5558635/b97612cbc23c/CRIGM2017-8726706.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4274/5558635/5c1de1aa9a7e/CRIGM2017-8726706.003.jpg

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引用本文的文献

1
Multimodal Endoscopic Management of Esophageal Perforations as a Complication of Peroral Endoscopic Myotomy for a Zenker's Diverticulum.作为经口内镜下肌切开术治疗Zenker憩室并发症的食管穿孔的多模式内镜管理
ACG Case Rep J. 2023 Jun 10;10(6):e01059. doi: 10.14309/crj.0000000000001059. eCollection 2023 Jun.

本文引用的文献

1
Zenker Diverticulum--Which Surgical Approach Is Superior?Zenker憩室——哪种手术方式更优？
JAMA Otolaryngol Head Neck Surg. 2016 Apr;142(4):401-3. doi: 10.1001/jamaoto.2015.3892.
2
Role of endoscopic clipping in the treatment of oesophageal perforations.内镜下夹闭术在食管穿孔治疗中的作用。
World J Gastrointest Endosc. 2016 Jan 10;8(1):13-22. doi: 10.4253/wjge.v8.i1.13.
3
Endotherapy of leaks and fistula.渗漏与瘘管的内镜治疗。
World J Gastrointest Endosc. 2015 Jun 25;7(7):702-13. doi: 10.4253/wjge.v7.i7.702.
4
Successful treatment of cervical esophageal leakage by endoscopic-vacuum assisted closure therapy.内镜下真空辅助闭合疗法成功治疗颈段食管瘘
World J Gastrointest Endosc. 2013 Jul 16;5(7):340-5. doi: 10.4253/wjge.v5.i7.340.
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Pathogenesis and methods of treatment of Zenker's diverticulum.
Ann Otol Rhinol Laryngol. 2003 Jul;112(7):583-93. doi: 10.1177/000348940311200703.
6
Endoscopic nasomediastinal drainage followed by clip application for treatment of delayed esophageal perforation with mediastinitis.内镜下鼻纵隔引流并应用夹子治疗延迟性食管穿孔伴纵隔炎。
Gastrointest Endosc. 2001 Nov;54(5):646-8. doi: 10.1067/mge.2001.117155.
7
Functional disease of the esophagus.食管功能性疾病
J Thorac Cardiovasc Surg. 1966 Aug;52(2):164-88.