内镜下注射治疗食管静脉曲张后使用透明帽调整用于狭窄的支架：一例报告
Transparent cap adjusted the stent placed for stenosis after endoscopic injection of esophageal varices: A case report.
作者信息
Zhang Fu-Long, Xu Jing, Zhu Yuan-Dong, Wu Qian-Neng, Shi Yan, Fang Lei, Zhou Dan, Wang Hai, Huang Chao-Jun, Zhou Chun-Hua, Zhu Qun
机构信息
Department of Gastroenterology, Hangzhou Xixi hospital, Hangzhou 310023, Zhejiang Province, China.
Department of Hepatopathy, Hangzhou Xixi hospital, Hangzhou 310023, Zhejiang Province, China.
出版信息
World J Clin Cases. 2024 May 26;12(15):2614-2620. doi: 10.12998/wjcc.v12.i15.2614.
BACKGROUND
The stent embedded in the esophageal mucosa is one of the complications after stenting for esophageal stricture. We present a case of stent adjustment with the aid of a transparent cap after endoscopic injection of an esophageal varices stent.
CASE SUMMARY
A 61-year-old male patient came to the hospital with discomfort of the chest after the stent implanted for the stenosis because of endoscopic injection of esophageal varices. The gastroscopy was performed, and the stent embedded into the esophageal mucosa. At first, we pulled the recycling line for shrinking the stent, however, the mucosa could not be removed from the stent. Then a forceps was performed to remove the mucosa in the stent, nevertheless, the bleeding form the mucosa was obvious. And then, we used a transparent cap to scrape the mucosa along the stent, and the mucosa were removed successfully without bleeding.
CONCLUSION
A transparent cap helps gastroscopy to remove the mucosa embedded in the stent after endoscopic injection of the esophageal varices stent.
背景
食管黏膜内嵌式支架是食管狭窄支架置入术后的并发症之一。我们报告1例内镜下注射食管静脉曲张支架后借助透明帽调整支架的病例。
病例摘要
一名61岁男性患者因内镜下注射食管静脉曲张而植入支架治疗狭窄后出现胸部不适前来就诊。进行了胃镜检查，发现支架嵌入食管黏膜。起初，我们拉动回收线以收缩支架，但黏膜无法从支架上移除。然后用钳子去除支架内的黏膜，然而，黏膜出血明显。随后，我们使用透明帽沿支架刮除黏膜，黏膜成功移除且未出血。
结论
透明帽有助于胃镜在内镜下注射食管静脉曲张支架后移除嵌入支架内的黏膜。
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