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内镜多普勒探头在上消化道出血的诊断与治疗中的应用

Endoscopic Doppler Probe in the Diagnosis and Management of Upper Gastrointestinal Hemorrhage.

作者信息

Satyavada Sagarika, Davitkov Perica, Akbar Ali Meer, Cooper Gregory, Wong Richard C K, Chak Amitabh

机构信息

Department of Medicine, University Hospitals Cleveland Medical Center, Cleveland, OH.

Digestive Health Institute, University Hospitals Cleveland Medical Center, Cleveland, OH.

出版信息

ACG Case Rep J. 2018 Sep 26;5:e68. doi: 10.14309/crj.2018.68. eCollection 2018.

Abstract

Through-the-scope (TTS) endoscopic Doppler ultrasound probe technology is a tool that has garnered interest for the evaluation of variceal and non-variceal bleeding. In previous studies, this technology has been proposed as a more objective method of identifying the bleeding subsurface blood vessel in peptic ulcer hemorrhage. We describe 3 cases where the use of an endoscopic Doppler probe guided the diagnosis and management of upper gastrointestinal (GI) hemorrhage due to causes other than peptic ulcer disease. The first case describes a patient with a duodenal Dieulafoy lesion, while the other 2 cases outline patients with a gastroesophageal varix as the etiology of the bleed.

摘要

经内镜(TTS)多普勒超声探头技术是一种已引起人们对静脉曲张和非静脉曲张出血评估关注的工具。在先前的研究中,该技术已被提议作为一种更客观的方法,用于识别消化性溃疡出血时的出血浅表血管。我们描述了3例使用内镜多普勒探头指导诊断和治疗非消化性溃疡疾病引起的上消化道(GI)出血的病例。第一例描述了一名患有十二指肠Dieulafoy病变的患者,而其他2例概述了以胃食管静脉曲张为出血病因的患者。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d0a/6160614/c14dfdcf5427/CG-CGCR180059F001.jpg

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