两例未破裂内脏动脉瘤经导管治疗后发生十二指肠溃疡的病例。
Two Cases of Duodenal Ulcers That Developed after Transcatheter Procedures for Unruptured Visceral Artery Aneurysms.
作者信息
Iwamuro Masaya, Kawai Yusuke, Uka Mayu, Matsui Yusuke, Hiraki Takao, Kawahara Yoshiro, Okada Hiroyuki
机构信息
Department of Gastroenterology and Hepatology, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, Okayama 700-8558, Japan.
Department of Gastroenterology, Mitoyo General Hospital, Kan'onji 769-1695, Japan.
出版信息
Case Rep Gastrointest Med. 2022 Apr 7;2022:9988216. doi: 10.1155/2022/9988216. eCollection 2022.
Herein, we report two cases of duodenal ulcers that developed after transcatheter procedures for the treatment of unruptured artery aneurysms. Both patients recovered after the administration of nothing by mouth, intravenous fluids, and proton-pump inhibitors. Notably, the duodenal ulcer was unchanged in one patient six days after endovascular treatment and improved in the other patient 13 days after angiography. These cases suggest that conservative treatment is acceptable in patients with duodenal ischemia that develops as an adverse effect of endovascular procedures. The usefulness of esophagogastroduodenoscopy in such patients has also been highlighted.
在此，我们报告两例在经导管治疗未破裂动脉瘤后发生十二指肠溃疡的病例。两名患者在禁食、静脉补液和使用质子泵抑制剂后均康复。值得注意的是，一名患者在血管内治疗6天后十二指肠溃疡无变化，另一名患者在血管造影13天后溃疡有所改善。这些病例表明，对于因血管内手术的不良反应而发生十二指肠缺血的患者，保守治疗是可以接受的。食管胃十二指肠镜检查在此类患者中的作用也得到了凸显。
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