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钬激光辅助胃镜下食管异物取出术:一例报告

Esophageal foreign body removal under holmium laser-assisted gastroscope: A case report.

作者信息

Yang Zhe, Qin Shanyu, Li Xiaomin

机构信息

Department of Gastroenterology, The First Affiliated Hospital of Guangxi Medical University, Nanning, China.

出版信息

Front Surg. 2023 Jan 17;10:1094160. doi: 10.3389/fsurg.2023.1094160. eCollection 2023.

DOI:10.3389/fsurg.2023.1094160
PMID:36733890
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9886868/
Abstract

As a common clinical emergence, esophageal foreign body can lead to esophageal perforation followed by severe complications including aortic injury, mediastinal abscess and airway obstruction, leading to a high rate of mortality. Therefore, fast and effective diagnosis and treatment are of great necessity. In this case, holmium laser-assisted gastroscopy was adopted to remove the foreign body incarcerated in the esophagus, allowing patients to avoid traumatic and costly surgeries. It is a supplement to traditional methods of foreign body removal. The new combination tried in this report can bring development and innovation inspiration to the development of endoscopic technology.

摘要

作为一种常见的临床急症,食管异物可导致食管穿孔,继而引发包括主动脉损伤、纵隔脓肿和气道梗阻在内的严重并发症,导致死亡率很高。因此,快速有效的诊断和治疗非常必要。在本病例中,采用钬激光辅助胃镜取出嵌顿在食管的异物,使患者避免了创伤性且费用高昂的手术。它是传统异物取出方法的一种补充。本报告中尝试的新组合可为内镜技术的发展带来启发与创新灵感。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eda0/9886868/a7e8abcdfe27/fsurg-10-1094160-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eda0/9886868/38124c2679d3/fsurg-10-1094160-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eda0/9886868/ba9f0fc818cb/fsurg-10-1094160-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eda0/9886868/4960a06aa197/fsurg-10-1094160-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eda0/9886868/a7e8abcdfe27/fsurg-10-1094160-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eda0/9886868/38124c2679d3/fsurg-10-1094160-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eda0/9886868/ba9f0fc818cb/fsurg-10-1094160-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eda0/9886868/4960a06aa197/fsurg-10-1094160-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eda0/9886868/a7e8abcdfe27/fsurg-10-1094160-g004.jpg

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Delayed endoscopic removal of sharp foreign body in the esophagus increased clinical complications: An experience from multiple centers in China.食管尖锐异物的延迟内镜取出增加临床并发症:来自中国多个中心的经验
Medicine (Baltimore). 2019 Jun;98(26):e16146. doi: 10.1097/MD.0000000000016146.
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Esophageal foreign body ingestion in adults on weekdays and holidays: A retrospective study of 1058 patients.
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