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通过注射胶水和弹簧圈栓塞治疗克罗恩病肠皮肤瘘:一例报告

Management of Enterocutaneous Fistula in Crohn's Disease by Embolization With Glue Injection and Coiling: A Case Report.

作者信息

Shbaita Sara, Daraghmeh Laith, Abu Saleem Nael, Rostom Alaa, Abdoh Qusay, Maqboul Iyad

机构信息

Faculty of Medicine, An-Najah National University, Nablus, PSE.

General Surgery, An-Najah National University Hospital, Nablus, PSE.

出版信息

Cureus. 2023 Aug 7;15(8):e43089. doi: 10.7759/cureus.43089. eCollection 2023 Aug.

DOI:10.7759/cureus.43089
PMID:37680418
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10482355/
Abstract

There is one reported case of a pancreatoduodenal fistula that was managed using combined coil embolization and fibrin glue after the failure of other methods. Herein, we document this case to highlight the value of coil embolization and fibrin glue as surgical alternatives for fistula treatment. We present a case of a 39-year-old female patient who has a known case of Crohn's disease (CD) and presented with an enterocutaneous fistula (ECF) after her most recent surgery. With the failure of conservative approaches and as she refused any surgical interventions, fibrin glue injection and coiling were used. As a conclusion, embolization may work well as a surgical management alternative due to its simplicity.

摘要

有一例胰十二指肠瘘的报道,在其他方法失败后采用联合弹簧圈栓塞和纤维蛋白胶进行治疗。在此,我们记录该病例以突出弹簧圈栓塞和纤维蛋白胶作为瘘管治疗手术替代方法的价值。我们报告一例39岁女性患者,她患有克罗恩病(CD),在最近一次手术后出现肠皮肤瘘(ECF)。由于保守方法失败且她拒绝任何手术干预,遂采用纤维蛋白胶注射和弹簧圈栓塞。结论是,栓塞因其操作简单,可作为一种有效的手术治疗替代方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85fb/10482355/3112d7730392/cureus-0015-00000043089-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85fb/10482355/5772bb95fde1/cureus-0015-00000043089-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85fb/10482355/ad9a07a952f6/cureus-0015-00000043089-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85fb/10482355/74525d3b1b20/cureus-0015-00000043089-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85fb/10482355/8e358f596448/cureus-0015-00000043089-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85fb/10482355/3112d7730392/cureus-0015-00000043089-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85fb/10482355/5772bb95fde1/cureus-0015-00000043089-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85fb/10482355/ad9a07a952f6/cureus-0015-00000043089-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85fb/10482355/74525d3b1b20/cureus-0015-00000043089-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85fb/10482355/8e358f596448/cureus-0015-00000043089-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85fb/10482355/3112d7730392/cureus-0015-00000043089-i05.jpg

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本文引用的文献

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The Impact of Depression in Patients Undergoing Emergency Abdominal Surgery: An Exploratory Study.抑郁症对接受急诊腹部手术患者的影响:一项探索性研究。
World J Surg. 2023 Apr;47(4):835-842. doi: 10.1007/s00268-022-06837-x. Epub 2022 Nov 19.
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Pathogenesis of Fistulating Crohn's Disease: A Review.瘘管性克罗恩病的发病机制:综述。
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Combined treatment of enterocutaneous fistula with laser diode and embolization.激光二极管联合栓塞治疗肠外瘘。
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Enterocutaneous Fistula: A Simplified Clinical Approach.肠皮肤瘘:一种简化的临床处理方法
Cureus. 2020 Apr 22;12(4):e7789. doi: 10.7759/cureus.7789.
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Intraperitoneal and Extraperitoneal Colonic Perforation Following Diagnostic and Therapeutic Colonoscopy with Crohn's-related Stricture Dilation.诊断性和治疗性结肠镜检查联合克罗恩病相关狭窄扩张术后的腹腔内和腹膜外结肠穿孔
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Engaging Patients in Decision-Making and Behavior Change to Promote Prevention.让患者参与决策和行为改变以促进预防。
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Enterocutaneous Fistula: Proven Strategies and Updates.肠外瘘:已证实的策略与进展
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Abscess-Fistula Complexes: A Systematic Approach for Percutaneous Catheter Management.脓肿-瘘管复合体:经皮导管管理的系统方法
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