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负压封闭引流术治疗小儿难治性食管瘘

Vacuum-Assisted Closure Treats Refractory Esophageal Leak in a Pediatric Patient.

作者信息

Lin Evan K, Lee Felicia, Cao Jasmin, Saliba Christian, Lu Vivian, Okeke Raymond I, Sobrino Justin, Blewett Christopher

机构信息

Medical School, Saint Louis University School of Medicine, Saint Louis, USA.

Pediatric Surgery, SSM Health Cardinal Glennon Children's Hospital, Saint Louis, USA.

出版信息

Cureus. 2023 Feb 21;15(2):e35257. doi: 10.7759/cureus.35257. eCollection 2023 Feb.

DOI:10.7759/cureus.35257
PMID:36968879
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10035385/
Abstract

Esophageal perforations can have iatrogenic and non-iatrogenic causes. Early identification is a predictor of good outcomes. When identified, perforations can be managed conservatively with wide drainage or repaired surgically. Endoscopic esophageal vacuum-assisted closure may be used as a definitive treatment, particularly in scenarios where conservative management and primary surgical repair fail to achieve complete healing. We present such a scenario advocating for the consideration of endoscopic esophageal vacuum-assisted closure in patients with refractory esophageal leaks.

摘要

食管穿孔可由医源性和非医源性原因引起。早期识别是良好预后的预测指标。一旦确诊，穿孔可通过广泛引流进行保守治疗或手术修复。内镜下食管真空辅助闭合术可作为一种确定性治疗方法，特别是在保守治疗和一期手术修复未能实现完全愈合的情况下。我们展示了这样一个病例，提倡对难治性食管漏患者考虑采用内镜下食管真空辅助闭合术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f62/10035385/f349eacc0cfd/cureus-0015-00000035257-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f62/10035385/f349eacc0cfd/cureus-0015-00000035257-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f62/10035385/f349eacc0cfd/cureus-0015-00000035257-i01.jpg

相似文献

1
Vacuum-Assisted Closure Treats Refractory Esophageal Leak in a Pediatric Patient.负压封闭引流术治疗小儿难治性食管瘘
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本文引用的文献

1
Management of esophageal perforations in infants by endoscopic vacuum therapy: a single center case series.经内镜真空治疗婴儿食管穿孔：单中心病例系列。
BMC Gastroenterol. 2022 Jun 3;22(1):282. doi: 10.1186/s12876-022-02346-2.
2
Current Status of Endoscopic Vacuum Therapy in the Management of Esophageal Perforations and Post-Operative Leaks.内镜下真空治疗在食管穿孔和术后漏管理中的现状
Clin Endosc. 2021 Nov;54(6):787-797. doi: 10.5946/ce.2021.240. Epub 2021 Nov 16.
3
Esophageal Perforation and EVAC in Pediatric Patients: A Case Series of Four Children.
小儿食管穿孔与EVAC：四例儿童病例系列
Front Pediatr. 2021 Aug 6;9:727472. doi: 10.3389/fped.2021.727472. eCollection 2021.
4
Endoscopic Esophageal Vacuum Therapy: A Novel Therapy for Esophageal Perforations in Pediatric Patients.经内镜食管真空治疗：小儿食管穿孔的一种新疗法。
J Pediatr Gastroenterol Nutr. 2018 Dec;67(6):706-712. doi: 10.1097/MPG.0000000000002073.
5
Endoscopic vacuum sponge therapy for an infant with an esophageal leak.内镜下真空海绵疗法治疗一名患有食管瘘的婴儿。
J Thorac Cardiovasc Surg. 2018 Nov;156(5):e193-e195. doi: 10.1016/j.jtcvs.2018.04.061. Epub 2018 Apr 21.
6
Neonatal and pediatric esophageal perforation.
Semin Pediatr Surg. 2017 Apr;26(2):87-94. doi: 10.1053/j.sempedsurg.2017.02.005. Epub 2017 Feb 3.
7
Management of Esophageal Perforation in Adults.成人食管穿孔的管理
Gastroenterology Res. 2010 Dec;3(6):235-244. doi: 10.4021/gr263w. Epub 2010 Nov 20.
8
The role of esophageal stents in the management of esophageal anastomotic leaks and benign esophageal perforations.食管支架在食管吻合口瘘和良性食管穿孔治疗中的作用。
Ann Surg. 2014 May;259(5):852-60. doi: 10.1097/SLA.0000000000000564.
9
Endoscopic vacuum therapy of anastomotic leakage and iatrogenic perforation in the esophagus.内镜下真空治疗吻合口漏和医源性食管穿孔。
Surg Endosc. 2013 Jun;27(6):2040-5. doi: 10.1007/s00464-012-2707-4. Epub 2012 Dec 18.
10
Intraluminal and intracavitary vacuum therapy for esophageal leakage: a new endoscopic minimally invasive approach.腔内和腔内置管真空治疗食管漏：一种新的内镜微创方法。
Endoscopy. 2011 Jun;43(6):540-4. doi: 10.1055/s-0030-1256345. Epub 2011 Mar 29.