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4 只犬应用磁体辅助内镜取出胃内磁性金属异物

Magnet-assisted endoscopic removal of ferromagnetic metallic gastric foreign bodies in 4 dogs.

机构信息

Friendship Hospital for Animals, Washington, District of Columbia, USA.

Department of Small Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, Gainesville, Florida, USA.

出版信息

J Vet Intern Med. 2024 Jul-Aug;38(4):2348-2352. doi: 10.1111/jvim.17105. Epub 2024 May 18.

Abstract

OBJECTIVE

Describe presenting signs, diagnostic findings, and magnet-assisted endoscopic removal method of ferromagnetic gastric foreign bodies (FBs) in dogs.

CLINICAL PRESENTATION

Four dogs presented with ingestion of sharp metallic FBs. The presence of gastric FBs was confirmed by abdominal radiography.

RESULTS

In 3 cases, initial attempts at endoscopic removal were unsuccessful because of ingesta and fluid in the stomach. A magnet contained within a Roth net was introduced endoscopically. Magnet and attached objects were successfully removed from the stomach. In the fourth case, removal with a magnet was judged to be the most expedient method of removal because multiple metallic objects were present.

CLINICAL RELEVANCE

An endoscopic technique was used for the removal of difficult-to-visualize or multiple metallic FBs. The use of this technique allows the removal of ferromagnetic gastric FBs without surgery or risk of complications associated with the passage of sharp material through the gastrointestinal (GI) tract.

摘要

目的

描述犬体内具有磁性的胃内异物(FB)的临床表现、诊断方法和经内镜辅助取出方法。

临床症状

4 只犬均因吞食尖锐的金属 FB 而就诊。腹部 X 射线检查证实存在胃 FB。

结果

3 例因胃内存在食物和液体,首次内镜尝试取 FB 未成功。随后将一个带有 Roth 网的磁铁经内镜插入胃内。磁铁和所附的异物成功从胃中取出。第 4 例中,由于存在多个金属异物,因此判断使用磁铁取出是最快捷的方法。

临床相关性

使用内镜技术可用于取出难以可视化或多个金属 FB。该技术的应用可在不进行手术的情况下取出具有磁性的胃 FB,避免了尖锐物质通过胃肠道(GI)时可能出现的并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6cd/11256188/e1f1f964b661/JVIM-38-2348-g002.jpg

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