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腐蚀性物质摄入后危及生命的胃肠道出血的另一种治疗方法。

An Alternative Approach to Life-Threatening Gastrointestinal Bleeding After Corrosive Ingestion.

作者信息

Singh Anand Narayan, Kilambi Ragini, Madhusudhan Kumble Seetharama, Pal Sujoy

机构信息

1Department of Gastrointestinal Surgery and Liver Transplantation, All India Institute of Medical Sciences, New Delhi, India.

2Department of Hepato-Pancreato-Biliary Surgery, Institute of Liver and Biliary Sciences, New Delhi, India.

出版信息

Indian J Surg. 2018 Apr;80(2):187-189. doi: 10.1007/s12262-018-1739-y. Epub 2018 Feb 5.

DOI:10.1007/s12262-018-1739-y
PMID:29915486
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5991017/
Abstract

Massive gastrointestinal bleeding after corrosive intake is a rare complication that generally mandates a surgical intervention for control. Angioembolization for control of gastrointestinal bleeding in the setting of acute corrosive injury has not been described. Here, we present our experience of a case of acute corrosive injury presenting with massive upper gastrointestinal bleeding in the delayed phase which was successfully managed by angioembolization. We discuss the case in light of the literature available and describe markers which may serve to identify potential candidates for angioembolization.

摘要

腐蚀性物质摄入后发生的大量胃肠道出血是一种罕见的并发症,通常需要进行手术干预以控制出血。在急性腐蚀性损伤情况下,通过血管栓塞术控制胃肠道出血的情况尚未见报道。在此,我们介绍了一例急性腐蚀性损伤患者在延迟期出现大量上消化道出血,经血管栓塞术成功治疗的经验。我们结合现有文献对该病例进行讨论,并描述可能有助于识别血管栓塞术潜在候选者的标志物。

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引用本文的文献

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Corrosive injury of the upper gastrointestinal tract: the evolving role of a radiologist.腐蚀性上消化道损伤:放射科医生的作用不断演变。
Br J Radiol. 2020 Oct 1;93(1114):20200528. doi: 10.1259/bjr.20200528. Epub 2020 Jul 24.

本文引用的文献

1
Acute corrosive injuries of the stomach: a single unit experience of thirty years.胃急性腐蚀性损伤:一个单位三十年的经验
ISRN Gastroenterol. 2011;2011:914013. doi: 10.5402/2011/914013. Epub 2010 Oct 28.
2
Massive upper gastrointestinal bleeding after acid-corrosive injury.酸腐蚀伤后大量上消化道出血。
World J Surg. 2004 Jan;28(1):50-4. doi: 10.1007/s00268-003-6831-0. Epub 2003 Dec 5.
3
Surgical management of extensive corrosive injuries of the alimentary tract.消化道广泛性腐蚀性损伤的外科治疗
Surg Gynecol Obstet. 1993 Jul;177(1):12-6.