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经口胃切开术取出犬食道内异物。

Gastrotomy approach for removal of an oesophageal foreign body in a dog.

机构信息

Joint Department of Veterinary Clinical Medicine, Faculty of Agriculture, Tottori University, Tottori, Japan.

出版信息

Vet Med Sci. 2023 May;9(3):1074-1077. doi: 10.1002/vms3.1098. Epub 2023 Mar 3.

DOI:10.1002/vms3.1098
PMID:36867640
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10188077/
Abstract

A 9-year-old castrated male Kaninchen dachshund dog weighing 4.18 kg was referred to our institution and presented with occasional vomiting and dysphagia. The radiographic examination revealed a long radiopaque foreign body located throughout the thoracic oesophagus. Endoscopic removal was attempted using laparoscopic forceps but was unsuccessful as the foreign body was too large to be grasped. A gastrotomy was therefore performed, and long paean forceps were gently and blindly inserted into the cardia of the stomach. The bone foreign body was grasped with the long paean forceps under fluoroscopy and withdrawn from the oesophagus while checking with an endoscope. A gastrotomy approach using long forceps, endoscopy and fluoroscopy should be considered for removal of oesophageal foreign bodies from patients in which an endoscopic approach has been unsuccessful.

摘要

一只 9 岁去势雄性坎高犬达克斯猎犬,体重 4.18 公斤,被转诊至我院,表现为偶发性呕吐和吞咽困难。放射学检查显示在整个胸段食管有一个长的不透射线异物。使用腹腔镜夹试图进行内镜取出,但由于异物太大无法夹住,因此未能成功。因此进行了胃切开术,并将长柄普里安夹在胃贲门处轻轻插入。在透视下用长柄普里安夹抓住骨性异物,并从食道中取出,同时用内窥镜检查。对于内镜方法未能成功取出的食道异物患者,应考虑使用长器械的胃切开术、内窥镜和透视检查来取出异物。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7009/10188077/b2871665a334/VMS3-9-1074-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7009/10188077/b2c1d5fc35e0/VMS3-9-1074-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7009/10188077/1e13d8e1a3df/VMS3-9-1074-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7009/10188077/53b7986b25fc/VMS3-9-1074-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7009/10188077/b2871665a334/VMS3-9-1074-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7009/10188077/b2c1d5fc35e0/VMS3-9-1074-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7009/10188077/1e13d8e1a3df/VMS3-9-1074-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7009/10188077/53b7986b25fc/VMS3-9-1074-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7009/10188077/b2871665a334/VMS3-9-1074-g005.jpg

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本文引用的文献

1
Esophageal foreign bodies in dogs: 34 cases (2004-2009).犬食管异物:34例(2004 - 2009年)
J Vet Emerg Crit Care (San Antonio). 2012 Apr;22(2):253-61. doi: 10.1111/j.1476-4431.2011.00700.x.