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血凝酶喷雾作为粪性溃疡所致下消化道出血的初始治疗方法。

Hemospray as the Initial Treatment of a Lower Gastrointestinal Bleed Resulting from Stercoral Ulceration.

作者信息

Woo Matthew, Curley Michael

机构信息

Division of Gastroenterology, Queen's University, Kingston, Ontario, Canada.

Division of Gastroenterology and Hepatology Cummings School of Medicine, Calgary, Alberta, Canada.

出版信息

ACG Case Rep J. 2018 Jun 20;5:e49. doi: 10.14309/crj.2018.49. eCollection 2018.

DOI:10.14309/crj.2018.49
PMID:29951564
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6013684/
Abstract

Stercoral ulceration, an uncommon complication of constipation and fecal impaction, can present as a significant lower gastrointestinal bleed. Endoscopic management of this complication is rarely described in the literature. We describe the first documented case of an individual with massive hematochezia in the setting of stercoral ulceration being managed with Hemospray (Cook Medical, Bloomington, Indiana).

摘要

粪性溃疡是便秘和粪块嵌塞的一种罕见并发症，可表现为严重的下消化道出血。文献中很少描述该并发症的内镜治疗。我们报道了首例有文献记载的粪性溃疡伴大量便血患者使用Hemospray（库克医疗公司，印第安纳州布卢明顿）进行治疗的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20a2/6013684/3be8958e1de3/CG-CGCR180042F002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20a2/6013684/c0146032c427/CG-CGCR180042F001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20a2/6013684/3be8958e1de3/CG-CGCR180042F002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20a2/6013684/c0146032c427/CG-CGCR180042F001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20a2/6013684/3be8958e1de3/CG-CGCR180042F002.jpg

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本文引用的文献

1
Role of hemostatic powders in the management of lower gastrointestinal bleeding: A review.止血粉在治疗下消化道出血中的作用：综述。
J Gastroenterol Hepatol. 2018 Aug;33(8):1445-1453. doi: 10.1111/jgh.14114. Epub 2018 Mar 22.
2
The Application of Hemospray in Gastrointestinal Bleeding during Emergency Endoscopy.血液喷洒技术在急诊内镜检查中治疗胃肠道出血的应用
Gastroenterol Res Pract. 2017;2017:3083481. doi: 10.1155/2017/3083481. Epub 2017 Jan 23.
3
Fecal impaction: a systematic review of its medical complications.粪便嵌塞：对其医学并发症的系统评价
BMC Geriatr. 2016 Jan 11;16:4. doi: 10.1186/s12877-015-0162-5.
4
Safety and efficacy of Hemospray® in upper gastrointestinal bleeding.海博刀®在治疗上消化道出血中的安全性和有效性。
Can J Gastroenterol Hepatol. 2014 Feb;28(2):72-6. doi: 10.1155/2014/759436.
5
Hemospray treatment is effective for lower gastrointestinal bleeding.海博刀治疗对于下消化道出血是有效的。
Endoscopy. 2014 Jan;46(1):75-8. doi: 10.1055/s-0033-1344988. Epub 2013 Nov 11.
6
Lower GI hemorrhage controlled with endoscopically applied TC-325 (with videos).内镜下应用TC-325控制下消化道出血（附视频）
Gastrointest Endosc. 2013 Mar;77(3):504-7. doi: 10.1016/j.gie.2012.10.014. Epub 2013 Jan 3.
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Solitary rectal ulcer syndrome and stercoral ulcers.孤立性直肠溃疡综合征和粪性溃疡
Gastroenterol Clin North Am. 2009 Sep;38(3):541-5. doi: 10.1016/j.gtc.2009.06.010.
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Successful management of bleeding due to solitary rectal ulcer via topical application of Ankaferd blood stopper.通过局部应用安卡福得止血剂成功治疗孤立性直肠溃疡出血。
J Altern Complement Med. 2008 Nov;14(9):1073-4. doi: 10.1089/acm.2008.0314.
9
Lower gastrointestinal bleeding: association with Sevelamer use.下消化道出血：与使用司维拉姆的关联。
World J Gastroenterol. 2008 Apr 28;14(16):2615-6. doi: 10.3748/wjg.14.2615.
10
Lower GI bleeding: epidemiology and diagnosis.下消化道出血：流行病学与诊断
Gastroenterol Clin North Am. 2005 Dec;34(4):643-64. doi: 10.1016/j.gtc.2005.08.007.