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内镜下鼻胰管引流有助于胃切除术后胃胰瘘的早期愈合。

Endoscopic Nasopancreatic Drainage Contributes to Early Resolution of Postgastrectomy Gastropancreatic Fistula.

机构信息

Department of Gastroenterology, Tokyo Metropolitan Cancer and Infectious Diseases Center, Komagome Hospital, Japan.

Department of Gastroenterology, Tokyo Women's Medical University, Japan.

出版信息

Intern Med. 2024 Feb 15;63(4):487-491. doi: 10.2169/internalmedicine.1500-22. Epub 2023 Jul 5.

DOI:10.2169/internalmedicine.1500-22
PMID:37407450
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10937146/
Abstract

A 76-year-old man experienced abdominal pain 43 days after gastric cancer resection. Computed tomography revealed a gastric wall defect extending to the pancreas, and endoscopic retrograde pancreatography revealed a gastropancreatic fistula. Afterward, a nasopancreatic duct drainage tube was inserted. Seven days later, no leakage of the contrast medium from the duct was observed, and the patient was discharged 22 days after endoscopic nasopancreatic duct drainage. Endoscopic nasopancreatic duct drainage prevents pancreatic juice leakage and promotes gastric ulcer healing.

摘要

一位 76 岁男性在胃癌切除术后 43 天出现腹痛。计算机断层扫描显示胃壁缺陷延伸至胰腺，内镜逆行胰胆管造影显示胃胰瘘。随后，插入了鼻胰管引流管。7 天后，未见导管内造影剂漏出，患者在经内镜鼻胰管引流后 22 天出院。经内镜鼻胰管引流可预防胰液漏出并促进胃溃疡愈合。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec94/10937146/e45ae2fd41b7/1349-7235-63-0487-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec94/10937146/94042c2d3488/1349-7235-63-0487-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec94/10937146/bea1fff70130/1349-7235-63-0487-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec94/10937146/e45ae2fd41b7/1349-7235-63-0487-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec94/10937146/94042c2d3488/1349-7235-63-0487-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec94/10937146/bea1fff70130/1349-7235-63-0487-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec94/10937146/e45ae2fd41b7/1349-7235-63-0487-g003.jpg

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本文引用的文献

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Massive emphysematous pancreatitis associated with duodenal microperforation.伴有十二指肠微小穿孔的大量气肿性胰腺炎。
J Surg Case Rep. 2022 Sep 14;2022(9):rjac392. doi: 10.1093/jscr/rjac392. eCollection 2022 Sep.
2
Successful treatment of mediastinal pancreatic pseudocyst and pancreatic pleural effusion with endoscopic pancreatic duct drainage: A case report.内镜下胰管引流成功治疗纵隔胰腺假性囊肿和胰源性胸腔积液：一例报告
DEN Open. 2022 Jun 5;3(1):e133. doi: 10.1002/deo2.133. eCollection 2023 Apr.
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Giant gastric ulcer penetrating the pancreas in a haemodynamically unstable patient.
一名血流动力学不稳定的患者出现巨大胃溃疡并穿透胰腺。
BMJ Case Rep. 2022 May 13;15(5):e250527. doi: 10.1136/bcr-2022-250527.
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Postoperative pancreatic fistula after gastrectomy for gastric cancer.胃癌胃切除术后的胰瘘
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World J Gastroenterol. 2017 Dec 28;23(48):8666-8670. doi: 10.3748/wjg.v23.i48.8666.
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A Rare Case of Gastric Ulcer Penetrating the Pancreas that was Successfully Managed by Conservative Therapy.一例罕见的穿透胰腺的胃溃疡经保守治疗成功治愈
Intern Med. 2017 Sep 1;56(17):2277-2279. doi: 10.2169/internalmedicine.8188-16. Epub 2017 Aug 10.
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"Pancreas-Compressionless Gastrectomy": A Novel Laparoscopic Approach for Suprapancreatic Lymph Node Dissection."胰腺无压迫胃切除术"：一种用于胰上区淋巴结清扫的新型腹腔镜方法。
Ann Surg Oncol. 2017 Oct;24(11):3331-3337. doi: 10.1245/s10434-017-5974-4. Epub 2017 Jul 11.
9
[Endoscopic nasobiliary and nasopancreatic drainage contributing to healing of duodenal ulcer perforation: a case report].[内镜下鼻胆管及鼻胰管引流促进十二指肠溃疡穿孔愈合：一例报告]
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Giant gastric ulcer penetrating into the pancreas.巨大胃溃疡穿透至胰腺。
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