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儿童难治性吻合口狭窄的电灼切开治疗:来自伊朗阿瓦士的报告

Electrocautery Incisional Therapy for Refractory Anastomotic Stricture in a Child: Report from Ahvaz, Iran.

作者信息

Javaherizadeh Hazhir, Khalighi Marjaneh, Askarpour Shahnam, Rezazadeh Afshin

机构信息

Alimentary Tract Research Center, Clinical Sciences Research Institute, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

Department of Pediatric Gastroenterology, Abuzar Children's Hospital, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

出版信息

Middle East J Dig Dis. 2022 Apr;14(2):258-260. doi: 10.34172/mejdd.2022.281. Epub 2022 Apr 30.

DOI:10.34172/mejdd.2022.281
PMID:36619151
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9489304/
Abstract

Endoscopic electrocautery incisional therapy (EIT) is one of the methods for the treatment of refractory esophageal stricture among adult cases. There are few reports among children. Herein we report the successful use of EIT for a 13-year-old boy with an anastomotic stricture who was visited in our hospital due to poor feeding and inability to feed. The boy had undergone gastric resection due to gastric necrosis. This is the first report of electrocautery surgery using a needle knife for the treatment of benign esophageal stricture in our country.

摘要

内镜电灼切开术(EIT)是治疗成人难治性食管狭窄的方法之一。儿童病例的相关报道较少。在此,我们报告了1例13岁男孩成功接受EIT治疗吻合口狭窄的病例,该男孩因喂养困难和无法进食前来我院就诊。该男孩曾因胃坏死接受过胃切除术。这是我国首例使用针刀进行电灼手术治疗良性食管狭窄的报道。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e313/9489304/b74e57e60f73/mejdd-14-258-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e313/9489304/dadeaab94e19/mejdd-14-258-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e313/9489304/3480a3116e37/mejdd-14-258-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e313/9489304/d896a6120f98/mejdd-14-258-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e313/9489304/81906fe9e56a/mejdd-14-258-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e313/9489304/b74e57e60f73/mejdd-14-258-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e313/9489304/dadeaab94e19/mejdd-14-258-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e313/9489304/3480a3116e37/mejdd-14-258-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e313/9489304/d896a6120f98/mejdd-14-258-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e313/9489304/81906fe9e56a/mejdd-14-258-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e313/9489304/b74e57e60f73/mejdd-14-258-g005.jpg

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Arq Gastroenterol. 2021 Oct-Dec;58(4):520-524. doi: 10.1590/S0004-2803.202100000-93.
2
Comparison of the Efficacy and Safety of Endoscopic Incisional Therapy and Balloon Dilatation for Esophageal Anastomotic Stricture.内镜下切开治疗与球囊扩张治疗食管吻合口狭窄的疗效与安全性比较。
J Gastrointest Surg. 2021 Jul;25(7):1690-1695. doi: 10.1007/s11605-020-04811-3. Epub 2020 Oct 13.
3
Endoscopic incisional therapy and other novel strategies for effective treatment of congenital esophageal stenosis.
经内镜切开治疗和其他新策略在先天性食管狭窄的有效治疗中的应用。
J Pediatr Surg. 2020 Nov;55(11):2342-2347. doi: 10.1016/j.jpedsurg.2020.01.013. Epub 2020 Jan 30.
4
Complications After endoscopic balloon dilatation of esophageal strictures in children. Experience from a tertiary center in Shiraz - Iran (Nemazee Teaching Hospital).儿童食管狭窄内镜下球囊扩张术后的并发症。来自伊朗设拉子一家三级中心(内马齐教学医院)的经验。
Rev Gastroenterol Peru. 2019 Jan-Mar;39(1):7-11.
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Cutting-edge Treatment for Benign Pediatric Esophageal Strictures, a Step Forward, More to Go.
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