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梗死后期室间隔缺损封堵器用于内镜超声引导下经胃内镜逆行胰胆管造影术后持续性瘘管闭合

Persistent Fistula Closure After Endoscopic Ultrasound-Directed Transgastric Endoscopic Retrograde Cholangiopancreatography by Postinfarct Ventricular Septal Defect Occluder.

作者信息

Aghaie Meybodi Mohamad, Johal Amitpal S, Abdulsamad Molham

机构信息

Division of Gastroenterology, Geisinger Medical Center, Danville, PA.

出版信息

ACG Case Rep J. 2024 Sep 19;11(9):e01519. doi: 10.14309/crj.0000000000001519. eCollection 2024 Sep.

DOI:10.14309/crj.0000000000001519
PMID:39301463
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11412718/
Abstract

A gastrogastric fistula is a delayed complication of the endoscopic ultrasound-directed transgastric endoscopic retrograde cholangiopancreatography. Endoscopic closure of these fistulae poses a significant challenge, and surgical intervention may be required in some patients. In this study, we discuss the case of a 69-year-old woman with persistent fistula following the endoscopic ultrasound-directed transgastric endoscopic retrograde cholangiopancreatography procedure. Despite the failure of conventional advanced endoscopic fistula closure methods, successful closure of the fistula was achieved using a postinfarct ventricular septal defect occluder.

摘要

胃胃瘘是内镜超声引导下经胃内镜逆行胰胆管造影的一种延迟并发症。内镜下闭合这些瘘管具有重大挑战,部分患者可能需要手术干预。在本研究中,我们讨论了一例69岁女性患者,其在内镜超声引导下经胃内镜逆行胰胆管造影术后出现持续性瘘管。尽管传统的先进内镜瘘管闭合方法失败,但使用心肌梗死后室间隔缺损封堵器成功闭合了瘘管。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ec9/11412718/162e9ef34a9d/ac9-11-e01519-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ec9/11412718/bf94267b1fa7/ac9-11-e01519-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ec9/11412718/fee8855b337b/ac9-11-e01519-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ec9/11412718/162e9ef34a9d/ac9-11-e01519-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ec9/11412718/bf94267b1fa7/ac9-11-e01519-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ec9/11412718/fee8855b337b/ac9-11-e01519-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ec9/11412718/162e9ef34a9d/ac9-11-e01519-g003.jpg

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