Yartsev Peter, Kirsanov Ilya, Teterin Yury, Dmitriev Ilya, Lebedev Aleksander, Kazakova Victoria
Department of Urgent Abdominal Surgery, Endoscopy and Intensive Therapy, Sklifosovsky Research Institute for Emergency Medicine, Moscow, Russia.
Department of Pancreas and Kidney Transplantation, Sklifosovsky Research Institute for Emergency Medicine, Moscow, Russia.
Asian J Endosc Surg. 2020 Jan;13(1):103-106. doi: 10.1111/ases.12697. Epub 2019 Mar 6.
We describe a clinical case involving endoscopic treatment of a perforated duodenal ulcer using a partially polyurethane-covered self-expandable nitinol stent. A 93-year-old patient with severe cardiovascular comorbidity underwent a laparoscopic closure of a perforated duodenal ulcer. The early postoperative period was complicated by failure of the closure, and as a result, endoscopic treatment was performed, including the placement of a partially polyurethane-covered self-expandable nitinol stent. The treatment had a positive effect. Further study of the proposed method is required, and favorable results will allow endoscopists to actively introduce this procedure into clinical practice.
我们描述了一例使用部分聚氨酯覆盖的自膨式镍钛合金支架对十二指肠溃疡穿孔进行内镜治疗的临床病例。一名患有严重心血管合并症的93岁患者接受了十二指肠溃疡穿孔的腹腔镜闭合术。术后早期因闭合失败而出现并发症，因此进行了内镜治疗，包括放置部分聚氨酯覆盖的自膨式镍钛合金支架。治疗取得了积极效果。需要对所提出的方法进行进一步研究，若取得良好结果，将使内镜医师能够积极地将该手术引入临床实践。
