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冷冻消融与支架内支架技术联合应用以取出嵌顿的食管支架

Combined Approach of Cryoablation and Stent-In-Stent Technique for Removal of an Embedded Esophageal Stent.

作者信息

Chandnani Madhuri, Cohen Jonah, Berzin Tyler M

机构信息

Center for Advanced Endoscopy, Division of Gastroenterology, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA, USA.

出版信息

Case Rep Gastrointest Med. 2018 Sep 25;2018:8619252. doi: 10.1155/2018/8619252. eCollection 2018.

DOI:10.1155/2018/8619252
PMID:30356340
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6176298/
Abstract

Self-expanding removable stents are used for the treatment of esophageal strictures. Partially covered metal stents become embedded in the esophageal wall due to mucosal tissue reaction providing good anchorage. This can also lead to extreme difficulty in the removal of such stents. Several different individual techniques have been used in literature for removal of these esophageal stents. Ours is the first case using a combination of cryoablation and stent-in-stent technique for removal of an extremely difficult case of embedded esophageal stent.

摘要

自膨胀可移除支架用于治疗食管狭窄。部分覆膜金属支架由于黏膜组织反应会嵌入食管壁,从而提供良好的固定效果。这也可能导致此类支架移除极为困难。文献中已使用多种不同的个体技术来移除这些食管支架。我们的病例是首例采用冷冻消融和支架内置支架技术相结合的方法来移除嵌入性食管支架这一极其困难病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99d9/6176298/4fefb5aaf5be/CRIGM2018-8619252.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99d9/6176298/ac4b55e93f2a/CRIGM2018-8619252.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99d9/6176298/2897059dfabf/CRIGM2018-8619252.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99d9/6176298/6e4f7e8f5539/CRIGM2018-8619252.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99d9/6176298/1f9738c0ea88/CRIGM2018-8619252.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99d9/6176298/9f1cc619bb11/CRIGM2018-8619252.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99d9/6176298/4fefb5aaf5be/CRIGM2018-8619252.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99d9/6176298/ac4b55e93f2a/CRIGM2018-8619252.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99d9/6176298/2897059dfabf/CRIGM2018-8619252.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99d9/6176298/6e4f7e8f5539/CRIGM2018-8619252.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99d9/6176298/1f9738c0ea88/CRIGM2018-8619252.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99d9/6176298/9f1cc619bb11/CRIGM2018-8619252.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99d9/6176298/4fefb5aaf5be/CRIGM2018-8619252.006.jpg

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Curr Opin Gastroenterol. 2017 Jul;33(4):261-269. doi: 10.1097/MOG.0000000000000372.
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Esophageal stenting for benign and malignant disease: European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline.
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Quant Imaging Med Surg. 2022 Jul;12(7):3813-3820. doi: 10.21037/qims-21-1039.
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Surg Endosc. 2022 Aug;36(8):5692-5697. doi: 10.1007/s00464-022-09238-2. Epub 2022 Jun 21.
食管良性和恶性疾病的支架置入术:欧洲胃肠内镜学会(ESGE)临床指南
Endoscopy. 2016 Oct;48(10):939-48. doi: 10.1055/s-0042-114210. Epub 2016 Sep 14.
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