Masuda Satoshi, Aoyama Taiki, Fukumoto Akira, Nagata Shinji
Gastroenterology, Hiroshima City Asa Citizens Hospital, Hiroshima, JPN.
Cureus. 2020 Dec 19;12(12):e12176. doi: 10.7759/cureus.12176.
Duodenal obstruction is a rare event that is unlikely to be treated endoscopically. Herein, we describe the case of a 75-year-old woman who presented with vomiting and was diagnosed with food-induced duodenal obstruction. Impacted food was fragmented and removed by double-balloon enteroscopy, and the duodenal tract was reopened without any adverse events. Follow-up capsule endoscopy was performed one month after treatment to determine the obstruction etiology and it revealed a remarkably delayed passage of the capsule through the duodenum and excessive amounts of floating food residue in the third portion of the duodenum. Obstruction recurrence was not observed six months after endoscopic treatment. In conclusion, in our case, endoscopic treatment of duodenal obstruction prevented the unnecessary performance of surgery, suggesting its clinical utility for this condition.
十二指肠梗阻是一种罕见的情况,不太可能通过内镜进行治疗。在此,我们描述了一名75岁女性的病例,她因呕吐就诊,被诊断为食物引起的十二指肠梗阻。通过双气囊小肠镜将嵌顿的食物破碎并取出,十二指肠管腔重新通畅,未发生任何不良事件。治疗后1个月进行了随访胶囊内镜检查以确定梗阻病因,结果显示胶囊通过十二指肠的时间明显延迟,且十二指肠第三段有大量漂浮的食物残渣。内镜治疗6个月后未观察到梗阻复发。总之,在我们的病例中,十二指肠梗阻的内镜治疗避免了不必要的手术,表明其对这种情况具有临床实用性。