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胃Dieulafoy病变导致的难以控制的复发性胃肠道出血中使用锁扣式内镜夹

Usage of Padlock Over-the-Scope-Clip in Difficult-to-Control Recurrent Gastrointestinal Bleeding Due to a Gastric Dieulafoy Lesion.

作者信息

Joyce John, Kumar Vishnu, Nasr Dayana, Aswath Ganesh, Khan Hafiz M, John Savio

机构信息

SUNY Upstate Medical University, Syracuse, NY, USA.

出版信息

J Investig Med High Impact Case Rep. 2024 Jan-Dec;12:23247096241263062. doi: 10.1177/23247096241263062.

DOI:10.1177/23247096241263062
PMID:39044598
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11268008/
Abstract

Dieulafoy's lesions (DLs) are a rare cause of acute gastrointestinal bleeds (GIBs). Here we describe Over-the-Scope Clip Padlock System (OTSC-P) use to treat a gastric fundus DL with recurrent bleeding despite other interventions. The OTSC-P was created for full-thickness defect closure in the event of a perforation, but use has expanded to treatment of GIB. They consist of metal clips mounted on transparent caps, delivered via endoscope. Their size allows control of larger bleeding lesions, provides enhanced tissue stability and the firmer clip grasp reduces rebleeding or clip dislodgement.

摘要

迪厄拉富瓦病变（DLs）是急性胃肠道出血（GIBs）的罕见病因。在此，我们描述了使用内镜下套扎闭合系统（OTSC-P）治疗胃底DL，尽管采取了其他干预措施，但仍反复出血。OTSC-P最初是为在穿孔时进行全层缺损闭合而设计的，但现在其应用已扩展到GIB的治疗。它们由安装在透明帽上的金属夹组成，通过内镜输送。其尺寸能够控制较大的出血病变，提供更强的组织稳定性，且夹闭更牢固，可减少再出血或夹子移位。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/32f9/11268008/2eef03561734/10.1177_23247096241263062-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/32f9/11268008/eb49cb840b52/10.1177_23247096241263062-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/32f9/11268008/ae8d4ec06c2b/10.1177_23247096241263062-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/32f9/11268008/4fae814aadaa/10.1177_23247096241263062-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/32f9/11268008/2eef03561734/10.1177_23247096241263062-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/32f9/11268008/eb49cb840b52/10.1177_23247096241263062-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/32f9/11268008/ae8d4ec06c2b/10.1177_23247096241263062-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/32f9/11268008/4fae814aadaa/10.1177_23247096241263062-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/32f9/11268008/2eef03561734/10.1177_23247096241263062-fig4.jpg

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本文引用的文献

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Sustained Hemostasis With the Padlock™ Over-the-scope Clip for Gastric Fundus Dieulafoy's Lesion in the Setting of Anticoagulation Following Hemorrhagic Shock From Two Dieulafoy's Lesions.在因两处 Dieulafoy 病变导致的出血性休克后抗凝治疗的情况下，使用 Padlock™ 过内镜钳夹对胃底 Dieulafoy 病变进行持续止血。
Mil Med. 2023 Aug 29;188(9-10):e3265-e3268. doi: 10.1093/milmed/usac335.
2
Endoscopic clipping in non-variceal upper gastrointestinal bleeding treatment.内镜下夹闭术在非静脉曲张性上消化道出血治疗中的应用
Clin Endosc. 2022 May;55(3):339-346. doi: 10.5946/ce.2021.249. Epub 2022 Apr 28.
3
Endoscopic Management with a Novel Over-The-Scope Padlock Clip System.
使用新型经内镜套扎锁夹系统的内镜管理
Clin Endosc. 2019 Nov;52(6):574-580. doi: 10.5946/ce.2019.122. Epub 2019 Nov 26.
4
Novel endoscopic over-the-scope clip system.新型内镜套扎夹系统。
World J Gastroenterol. 2015 Dec 28;21(48):13587-92. doi: 10.3748/wjg.v21.i48.13587.
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A novel method for closure of a persistent gastrostomy feeding site fistula.一种闭合持续性胃造口喂养部位瘘管的新方法。
Endoscopy. 2015;47 Suppl 1:E629-30. doi: 10.1055/s-0034-1393588. Epub 2015 Dec 29.
6
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Surg Endosc. 2016 May;30(5):2026-9. doi: 10.1007/s00464-015-4436-y. Epub 2015 Jul 23.
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