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青少年结节性多动脉炎和动脉血栓形成继发胃狭窄的内镜下球囊扩张术

Endoscopic Balloon Dilation of Gastric Stenosis secondary to Polyarteritis Nodosa and Arterial Thrombosis in an Adolescent.

作者信息

Peña-Vélez Rubén, Roldán-Montijo Mariana, Imbett-Yepez Sharon, Ramírez-Mayans Jaime, Loredo-Mayer Alejandro, Montijo-Barrios Ericka

机构信息

From the Department of Pediatric Gastroenterology and Nutrition, Instituto Nacional de Pediatría. Mexico City, Mexico.

School of Medicine, Universidad Nacional Autónoma de México, Mexico City, Mexico.

出版信息

JPGN Rep. 2022 Apr 8;3(2):e198. doi: 10.1097/PG9.0000000000000198. eCollection 2022 May.

DOI:10.1097/PG9.0000000000000198
PMID:37168903
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10158308/
Abstract

A 13-year-old female with polyarteritis nodosa underwent a partial gastrectomy for ischemic necrosis and gastric perforation following left gastric artery thrombosis. She later presented with vomiting, early satiety, weight loss, and severe malnutrition, when she was diagnosed with an occlusive gastric stricture. She successfully underwent repeated therapeutic endoscopic balloon dilations until the endpoint of 15-18 mm lumen was achieved without any complications, and her symptoms resolved.

摘要

一名患有结节性多动脉炎的13岁女性因左胃动脉血栓形成后出现缺血性坏死和胃穿孔而接受了部分胃切除术。后来，她出现呕吐、早饱、体重减轻和严重营养不良的症状，被诊断为闭塞性胃狭窄。她成功地接受了多次内镜治疗性球囊扩张，直到管腔达到15 - 18毫米的终点，且无任何并发症，症状也得到缓解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/36a5/10158308/2186e02c2c31/pg9-3-e198-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/36a5/10158308/d5c5c191dbf5/pg9-3-e198-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/36a5/10158308/2186e02c2c31/pg9-3-e198-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/36a5/10158308/d5c5c191dbf5/pg9-3-e198-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/36a5/10158308/2186e02c2c31/pg9-3-e198-g002.jpg

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本文引用的文献

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Update on endoscopic management of gastric outlet obstruction in children.儿童胃出口梗阻的内镜治疗进展
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Gastric outlet obstruction at Bugando Medical Centre in Northwestern Tanzania: a prospective review of 184 cases.
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