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.
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。
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