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应用内镜下圈套夹（OTSC）治疗十二指肠溃疡出血伴巨大血肿及穿孔的损伤控制手术

Damage Control Surgery for Duodenal Ulcer Bleeding With Massive Hematoma and Perforation Due to Over-the-Scope Clip (OTSC).

作者信息

Harada Kei, Kojima Daibo, Yamana Ippei, Seike Hirotaka, Fujikawa Takahisa

机构信息

Surgery, Kokura Memorial Hospital, Kitakyushu, JPN.

Gastroenterological Surgery, Fukuoka University, Faculty of Medicine, Fukuoka, JPN.

出版信息

Cureus. 2024 Mar 18;16(3):e56359. doi: 10.7759/cureus.56359. eCollection 2024 Mar.

DOI:10.7759/cureus.56359
PMID:38633969
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11022004/
Abstract

Due to the advances in endoscopic technology, surgery for duodenal ulcer (DU) bleeding has decreased, although surgery is still necessary for more complicated cases. The concept of damage control surgery (DCS) has been established in the field of trauma, and a simple surgical approach may be preferable in serious cases such as uncontrolled DU bleeding. We present a successful case of bleeding with massive hematoma and perforation of the duodenum due to an over-the-scope clip that was treated by a less invasive surgical approach with consideration of the DCS.

摘要

由于内镜技术的进步，十二指肠溃疡（DU）出血的手术治疗有所减少，尽管对于更复杂的病例手术仍然是必要的。损伤控制手术（DCS）的概念已在创伤领域确立，对于诸如无法控制的DU出血等严重病例，采用简单的手术方法可能更为可取。我们报告了一例因内镜套扎夹导致十二指肠大出血和穿孔的成功治疗病例，该病例采用了考虑到DCS的微创外科手术方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3024/11022004/2089a31dbb5c/cureus-0016-00000056359-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3024/11022004/df3aae96f49c/cureus-0016-00000056359-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3024/11022004/4c5c1ed3aa76/cureus-0016-00000056359-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3024/11022004/09da1b99b75c/cureus-0016-00000056359-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3024/11022004/9dca4d84ef4b/cureus-0016-00000056359-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3024/11022004/2089a31dbb5c/cureus-0016-00000056359-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3024/11022004/df3aae96f49c/cureus-0016-00000056359-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3024/11022004/4c5c1ed3aa76/cureus-0016-00000056359-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3024/11022004/09da1b99b75c/cureus-0016-00000056359-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3024/11022004/9dca4d84ef4b/cureus-0016-00000056359-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3024/11022004/2089a31dbb5c/cureus-0016-00000056359-i05.jpg

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1
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本文引用的文献

1
Bleeding Duodenal Ulcer: Strategies in High-Risk Ulcers.出血性十二指肠溃疡：高危溃疡的治疗策略
Visc Med. 2021 Feb;37(1):52-62. doi: 10.1159/000513689. Epub 2020 Dec 18.
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Evidence-based clinical practice guidelines for peptic ulcer disease 2020.2020 年消化性溃疡病循证临床实践指南。
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Over-the-scope clip system: A review of 1517 cases over 9 years.经内镜结扎夹系统：9 年 1517 例回顾。
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Damage control: Concept and implementation.损伤控制：概念与实施
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Bleeding gastric and duodenal ulcers: case-control study comparing angioembolization and surgery.胃和十二指肠溃疡出血：比较血管栓塞术与手术治疗的病例对照研究
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Antroduodenectomy with Gastroduodenal Anastomosis: Salvage Emergency Surgery for Complicated Peptic Ulcer Disease--Results of a Double Institution Study of 35 Patients.胃十二指肠吻合术的胃十二指肠切除术：复杂性消化性溃疡疾病的挽救性急诊手术——一项针对35例患者的双机构研究结果
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Damage control surgery for abdominal emergencies.腹部急症的损伤控制性手术。
Br J Surg. 2014 Jan;101(1):e109-18. doi: 10.1002/bjs.9360. Epub 2013 Nov 25.
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Emergency ulcer surgery.紧急溃疡手术。
Surg Clin North Am. 2011 Oct;91(5):1001-13. doi: 10.1016/j.suc.2011.06.008.
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Benefit of a clipping device in use in intestinal bleeding and intestinal leakage.夹闭装置在肠道出血和肠道漏中的应用益处。
Gastrointest Endosc. 2011 Aug;74(2):389-97. doi: 10.1016/j.gie.2011.03.1128. Epub 2011 May 25.
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Damage control resuscitation in combination with damage control laparotomy: a survival advantage.损伤控制复苏联合损伤控制剖腹术：生存优势
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