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一名采用功能性管腔成像探头治疗的食管蹼患儿。

A Child with an Esophageal Web Treated with Functional Lumen Imaging Probe.

作者信息

Hohl Brenna, Hoskins Brett, Ng Kenneth

机构信息

From the Department of Medicine, Campbell University School of Osteopathic Medicine, Lillington, NC.

Division of Pediatric Gastroenterology, Hepatology, and Nutrition, Department of Pediatrics, The Johns Hopkins University School of Medicine, Baltimore, MD.

出版信息

JPGN Rep. 2023 Mar 24;4(2):e304. doi: 10.1097/PG9.0000000000000304. eCollection 2023 May.

DOI:10.1097/PG9.0000000000000304
PMID:37200730
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10187835/
Abstract

A 14-month-old male presented to the emergency department with a 4-day history of vomiting after the intake of liquids or solids. During the admission, imaging studies revealed an esophageal web, a form of congenital esophageal stenosis. He was treated with a combination of Endoluminal Functional Lumen Imaging Probe (EndoFLIP) and controlled radial expansion (CRE) balloon dilation, followed by EndoFLIP and EsoFLIP dilation 1 month later. The patient's vomiting resolved after treatment, and he was able to gain weight. This report describes one of the first cases of applying EndoFLIP and EsoFLIP to treat an esophageal web in a pediatric patient.

摘要

一名14个月大的男性因摄入液体或固体后出现4天呕吐史而就诊于急诊科。入院期间,影像学检查发现食管蹼,这是一种先天性食管狭窄的形式。他接受了腔内功能性管腔成像探头(EndoFLIP)和可控径向扩张(CRE)球囊扩张联合治疗,1个月后又进行了EndoFLIP和EsoFLIP扩张。治疗后患者的呕吐症状消失,体重增加。本报告描述了首例应用EndoFLIP和EsoFLIP治疗小儿食管蹼的病例之一。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/27c0/10187835/5ccf99825cf9/pg9-4-e304-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/27c0/10187835/19722efe78a2/pg9-4-e304-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/27c0/10187835/5ccf99825cf9/pg9-4-e304-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/27c0/10187835/19722efe78a2/pg9-4-e304-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/27c0/10187835/5ccf99825cf9/pg9-4-e304-g002.jpg

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本文引用的文献

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J Pediatr Gastroenterol Nutr. 2022 Jun 1;74(6):e148-e152. doi: 10.1097/MPG.0000000000003430. Epub 2022 Feb 24.
2
The Utility of Functional Luminal Imaging Probes Measurements to Diagnose Dysmotility and Their Relationship to Impaired Bolus Clearance.功能性内腔成像探头测量在诊断动力障碍中的应用及其与食团排空障碍的关系。
J Pediatr Gastroenterol Nutr. 2022 Apr 1;74(4):523-528. doi: 10.1097/MPG.0000000000003394. Epub 2022 Feb 3.
3
Functional Luminal Imaging Probe in the Management of Pediatric Esophageal Disorders.
功能腔道成像探头在小儿食管疾病诊治中的应用
J Pediatr Gastroenterol Nutr. 2022 Apr 1;74(4):516-522. doi: 10.1097/MPG.0000000000003312. Epub 2021 Sep 28.
4
The Role of the Functional Lumen Imaging Probe in Research and Clinical Practice.功能性管腔成像探头在研究和临床实践中的作用。
Gastroenterol Hepatol (N Y). 2020 Feb;16(2):98-100.
5
Congenital esophageal stenosis: a rare malformation of the foregut.先天性食管狭窄:一种罕见的前肠畸形。
Nagoya J Med Sci. 2019 Nov;81(4):535-547. doi: 10.18999/nagjms.81.4.535.
6
Characteristics and management of congenital esophageal stenosis: findings from a multicenter study.先天性食管狭窄的特征和处理:多中心研究的结果。
Orphanet J Rare Dis. 2013 Dec 1;8:186. doi: 10.1186/1750-1172-8-186.