通过内镜下黏膜下剥离术切除婴儿胃重复囊肿：一例报告。
Removal of an infant's gastric duplication cyst through endoscopic submucosal dissection: A case report.
作者信息
Fang Ying, Gao Tianjiao, Yang Hongbin, Ma Shiyang, Li Quanlin, Zhou Ping-Hong
机构信息
Department of Gastroenterology, The Affiliated Children Hospital of Xi'an Jiaotong University.
Department of Gastroenterology, the Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi.
出版信息
Medicine (Baltimore). 2019 Mar;98(12):e14820. doi: 10.1097/MD.0000000000014820.
RATIONALE
Gastric duplication cyst is an anomaly that primarily occurs to children. Apart from the conventional use of surgical resection, few cases using endoscopic treatment have been reported.
PATIENT CONCERNS
A 5-month-old female infant was hospitalized with the chief complaint of gastric cyst. No significant abnormalities were identified by physical examination.
INTERVENTIONS
Endoscopic submucosal dissection (ESD) was performed successfully for the infant and the duration was less than 20 minutes. The patient showed no postoperative complications.
OUTCOMES
At 4 months during the follow-up, upper endoscopy revealed a small scar at the previous site of the lesion and no recurrence.
LESSONS
According to the results of PUBMED review, she was the youngest with gastric duplication cyst removed with ESD. The less invasive ESD should be considered an effective therapeutic option to remove gastric duplication cyst in children.
理论依据
胃重复囊肿是一种主要发生于儿童的先天性异常。除了传统的手术切除方法外，报道的采用内镜治疗的病例较少。
患者情况
一名5个月大的女婴因胃囊肿为主诉入院。体格检查未发现明显异常。
干预措施
成功地为该婴儿实施了内镜黏膜下剥离术（ESD），手术持续时间不到20分钟。患者术后无并发症。
结果
随访4个月时，上消化道内镜检查显示病变先前部位有一个小疤痕，无复发。
经验教训
根据PubMed检索结果，她是接受ESD治疗的最年幼的胃重复囊肿患者。侵入性较小的ESD应被视为治疗儿童胃重复囊肿的有效治疗选择。
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