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12 只犬应用瓶盖套器行内镜胃内异物取出术(2020-2023 年)

Endoscopic Removal of Gastric Foreign Bodies with a Bottle Liner in 12 Dogs (2020-2023).

机构信息

From Centre Hospitalier Vétérinaire Frégis, IVC Evidensia France, F-75013 Paris, France.

出版信息

J Am Anim Hosp Assoc. 2024 Mar 1;60(2):60-67. doi: 10.5326/JAAHA-MS-7394.

Abstract

Endoscopy is widely used to remove gastric foreign bodies using grasping forceps and loop snares to manipulate and retrieve the foreign material. However, as not all foreign bodies can be removed using conventional endoscopic techniques, this case series describes the use of bottle liners for the removal of gastric foreign bodies in 12 dogs between 2020 and 2023. A 4 oz bottle liner (Drop-Ins) was placed at the end of the endoscope and pushed into the stomach. With the help of forceps introduced into the operating channel, the foreign body was pushed into the bottle liner. The bottle liner containing the foreign body was then extracted with the help of traction threads. The technique was used as the initial retrieval method in 5 dogs because of smooth (i.e., difficult to grasp) or sharp (i.e., that may damage the digestive tract mucosa during removal) foreign bodies and as a rescue procedure in 7 dogs. Foreign body retrieval was successful in all 12 dogs, with minor complications reported in 5 dogs (erosions and bleeding of the gastroesophageal sphincter). The use of a bottle liner represents an affordable alternative to gastrotomy when foreign bodies cannot be grasped with forceps or snares.

摘要

内镜检查广泛用于使用抓钳和圈套器来操作和取出异物以去除胃内异物。然而,由于并非所有异物都可以使用传统的内镜技术取出,本病例系列描述了在 2020 年至 2023 年间,使用瓶衬来取出 12 只狗的胃内异物。将一个 4 盎司的瓶衬(Drop-Ins)放在内镜的末端并推入胃中。借助引入操作通道的钳子,将异物推入瓶衬中。然后,借助牵引线将含有异物的瓶衬取出。该技术最初用于 5 只狗,原因是异物光滑(即难以抓住)或尖锐(即取出过程中可能会损伤消化道黏膜),并作为 7 只狗的抢救程序。12 只狗的异物取出均成功,5 只狗报告有轻微并发症(食管胃括约肌的糜烂和出血)。当异物无法用钳子或圈套器抓住时,使用瓶衬是剖腹术的一种经济实惠的替代方法。

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