氩等离子体凝固术内镜下溶解胃脂肪瘤
Endoscopic Dissolution of Gastric Lipoma with Argon Plasma Coagulation.
作者信息
Perisetti Abhilash, George Nayana, Raghavapuram Saikiran, Sheikh Abu Baker, Girotra Mohit, Tharian Benjamin
机构信息
Department of Family and Community Medicine, Texas Tech University.
Department of Internal Medicine, University of Arkansas for Medical Sciences.
出版信息
Cureus. 2017 Jul 31;9(7):e1526. doi: 10.7759/cureus.1526.
A 47-year-old patient presented from outside the hospital for evaluation of iron deficiency anemia (IDA). The endoscopic workup suggested a gastric antral subepithelial lesion with an overlying arteriovenous malformation (AVM). Endoscopic ultrasound (EUS) revealed the lesion to be a lipoma. Given the patient's anemia and blood transfusion requirements, the AVM was treated with argon plasma coagulation (APC). During this treatment, desiccation of fat was noted with a significant decrease in the size of the subepithelial lesion (the gastric lipoma). While the APC therapy was intended for management of the overlying AVM, it resulted in the partial dissolution of the gastric lipoma, proving to be a potential diagnostic and therapeutic tool.
一名47岁患者从外院前来评估缺铁性贫血（IDA）。内镜检查发现胃窦部上皮下病变，其上覆有动静脉畸形（AVM）。内镜超声（EUS）显示该病变为脂肪瘤。鉴于患者的贫血情况及输血需求，采用氩离子凝固术（APC）治疗AVM。治疗过程中，发现脂肪干燥，上皮下病变（胃脂肪瘤）大小显著减小。虽然APC治疗旨在处理上覆的AVM，但它导致胃脂肪瘤部分溶解，证明是一种潜在的诊断和治疗工具。
Zotero 插件