内镜检查中的即兴操作：使用自制保护装置经内镜取出上消化道尖锐异物

Improvising in Endoscopy: Endoscopic Removal of Sharp Foreign Bodies in the Upper GI Tract, Using a Handmade Protective Device.

作者信息

Miltiadou Konstantinos, Solomos Zisimangelos, Lygkos Dimitrios, Chatzidakis Alexandros, Rizos Evripidis, Papanikolaou Ioannis S, Triantafyllou Konstantinos

机构信息

Hepatogastroenterology Unit, 2 Department of Internal Medicine-Propaedeutic, Research Institute and Diabetes Center, Medical School, National and Kapodistrian University, Attikon University General Hospital, Athens 124 62, Greece.

Doctors of the World, Greek Delegation, Athens 105 53, Greece.

出版信息

Case Rep Gastrointest Med. 2020 Sep 9;2020:8881702. doi: 10.1155/2020/8881702. eCollection 2020.

DOI:10.1155/2020/8881702

PMID:32963847

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7499273/

Abstract

Foreign body ingestion is a common problem in large-volume endoscopic departments. Several techniques and devices have been described for the safe endoscopic removal of these objects. However, these devices may not be suitable in every clinical setting or-as in our case-they may not even be available. We report the case of a 34-year-old patient, presenting with sharp foreign body ingestion. The foreign bodies were safely removed using a handmade protective hood due to lack of a commercial device. In our case, improvisation proved to be of great benefit for the patient as well as for the endoscopist. Improvised interventions can be of special interest in the setting of insufficiently funded or equipped endoscopic departments.

摘要

异物摄入是大型内镜科室常见的问题。已经描述了几种用于安全内镜下取出这些异物的技术和设备。然而，这些设备可能并不适用于每种临床情况，或者——就像我们的病例一样——甚至可能无法获得。我们报告一例34岁患者，因摄入尖锐异物就诊。由于没有商用设备，使用自制的保护罩安全取出了异物。在我们的病例中，临时应对措施对患者和内镜医师都大有裨益。在资金或设备不足的内镜科室，临时干预措施可能会特别有用。