Medicine最新文献

{"title":"Ipsilateral elbow and shoulder dislocations in older people: Which joint should be reduced first?: A rare case report and literature review.","authors":"Mei-Ren Zhang, Jian-Hui Hu, Xiao Zeng, You-Cong Feng, Hai-Yun Chen","doi":"10.1097/MD.0000000000042080","DOIUrl":"10.1097/MD.0000000000042080","url":null,"abstract":"<p><strong>Rationale: </strong>Ipsilateral simultaneous shoulder and elbow dislocations are rare and complex injuries. Only a few case reports have been published in the literature. Therefore, little is known about the mechanism of injury and its treatment.</p><p><strong>Patient concerns: </strong>An 83-year-old woman presented with severe pain in the right shoulder and elbow after a fall. Radiographs revealed an unusual ipsilateral dislocation of both the elbow and shoulder, without any fractures.</p><p><strong>Diagnoses: </strong>Physical examination and radiographs confirmed an unusual ipsilateral dislocation of both the elbow and shoulder, without any fractures.</p><p><strong>Interventions: </strong>The shoulder dislocation was successfully manipulated without any anesthesia by a doctor first. Following this, the elbow dislocation was successfully treated by the same doctor, with the help of 2 assistants. The patient was then immobilized in a posterior plaster slab for the elbow, and a triangular sling for the shoulder, for a total of 3 weeks.</p><p><strong>Outcomes: </strong>Seven months after the injury, almost full range of motion was achieved on both joints, with only mild pain, The shoulder score, assessed using the American Shoulder and Elbow Surgeons Scale, was 80, while the elbow score was 87 at the last follow-up.</p><p><strong>Lessons: </strong>Ipsilateral elbow and shoulder dislocations are very unusual injuries for older people. However, we should not overlook associated injuries on initial assessment, to avoid missing a diagnosis. Excellent functional outcomes may be achievable by an initial closed reduction of the shoulder, followed by treatment of the elbow, particularly in older patients without associated fractures.</p>","PeriodicalId":18549,"journal":{"name":"Medicine","volume":"104 14","pages":"e42080"},"PeriodicalIF":1.3,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143803692","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of multidisciplinary collaborative jejunal nutrition care on nutritional status and quality of life in severely burned patients.","authors":"Fang Zou, Dan Sun, Jiang Chang, Chonggen Huang, Qing Zhou, Lingtao Ding","doi":"10.1097/MD.0000000000041965","DOIUrl":"10.1097/MD.0000000000041965","url":null,"abstract":"<p><p>To access the impact of multidisciplinary collaborative jejunal nutrition care on the nutritional status, pain level, wound healing, and quality of life in severely burned cases. A total of 120 cases with severe burns who visited our hospital from January 2021 to May 2023 were enrolled. Inclusion criteria: ① severe burn diagnosis; ② admission within 18 hours; ③ normal heart, liver, kidney, and cognitive function; ④ informed consent signed. Exclusion criteria: ① consumptive/metabolic diseases; ② malignant tumors; ③ midway death; ④ pregnant or lactating women. Patients were divided into 2 groups: control (n = 60) receiving parenteral nutrition and observation (n = 60) receiving multidisciplinary collaborative jejunal nutrition care. The latter included a multidisciplinary team (burns, endocrinology, cardiology, nephrology) and professionally trained caregivers. The jejunal nutrition care included the placement of a nasojejunal tube, individualized nutrition infusion protocols, close monitoring of vital signs, psychological counseling, and regular consultations with the multidisciplinary team. Outcomes assessed included hemoglobin, transferrin, albumin levels, pain (Visual Analogue Scale), wound healing, complications, SF-36 quality of life, and nursing satisfaction. After management, the observation group indicated significantly higher levels of hemoglobin (mean difference: 16.28 g/L, 95% CI: 12.5-20.1; Cohen d: 2.0, 95% CI: 1.7-2.3), transferrin (mean difference: 0.67 g/L, 95% CI: 0.5-0.9; Cohen d: 2.5, 95% CI: 2.1-3.0), and albumin (mean difference: 5.26 g/L, 95% CI: 4.2-6.3; Cohen d: 3.5, 95% CI: 3.0-4.0) compared to the control group (P < .05). The Visual Analogue Scale scores in the observation group were significantly lower (mean difference: 3.18 points, 95% CI: 2.8-3.5; Cohen d: 6.5, 95% CI: 5.9-7.2), and the wound healing time was significantly shorter (mean difference: 7.41 days, 95% CI: 4.5-10.3; Cohen d: 0.8, 95% CI: 0.6-1.0, P < .05). The observation group showed a lower complication rate (P = .02). Additionally, the observation group demonstrated significant improvements in SF-36 quality of life scores and higher nursing satisfaction (96.67% vs 80.00%, P = .0001). Multidisciplinary collaborative jejunal nutrition care effectively improves nutritional status, reduces pain, accelerates wound healing, and enhances quality of life and satisfaction in severely burned patients.</p>","PeriodicalId":18549,"journal":{"name":"Medicine","volume":"104 14","pages":"e41965"},"PeriodicalIF":1.3,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143803739","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Satralizumab after inebilizumab treatment in a patient with recurrent neuromyelitis optica spectrum disorder: A case report.","authors":"Duanyang Li, Jinhao Ye, Zhaoxiang Hong, Haibing Xiao","doi":"10.1097/MD.0000000000042067","DOIUrl":"10.1097/MD.0000000000042067","url":null,"abstract":"<p><strong>Rationale: </strong>Neuromyelitis optica spectrum disorder (NMOSD) comprises a group of rare and severe autoimmune inflammatory diseases affecting the central nervous system, mainly the optic nerves and spinal cord. Phase III studies have shown that the incidence of relapse is significantly reduced in aquaporin (AQP) 4 antibody-positive patients after treatment with satralizumab, a humanized monoclonal recycling antibody that blocks interleukin (IL)-6 signaling pathways, in conjunction with inebilizumab, a B-cell-depleting agent. Here, we report our experience with a patient who presented with pain associated with NMOSD.</p><p><strong>Patient concerns: </strong>A 40-year-old woman initially presented with acute thoracic myelitis. Magnetic resonance imaging revealed a demyelinating lesion in the spinal cord spanning from T2 to T10, along with enhancement and a positive serum AQP4-immunoglobulin G (IgG) titer.</p><p><strong>Diagnosis: </strong>NMOSD.</p><p><strong>Interventions: </strong>The patient initially received adequate long-term immunotherapy with inebilizumab and corticosteroids. Satralizumab was administered after treatment failure.</p><p><strong>Outcomes: </strong>The patient experienced recurrences of the disorder despite the initial immunotherapy, including pain and immobility from neurological dysfunction. Furthermore, her serum AQP4-IgG titer remained elevated (1:320), her B-cell proportion remained at 0, and her symptoms were not adequately relieved. She was then administered satralizumab, after which her serum AQP4-IgG and IL-6 levels decreased, the radiological appearance of spinal cord demyelination improved, her pain and other symptoms were alleviated, and her neurological function gradually recovered.</p><p><strong>Lessons: </strong>In patients with clinical episodes of NMOSD that recur despite treatment with a B-cell-depleting agent, satralizumab may help alleviate myelitis-associated pain. Further investigations are warranted to establish IL-6 as a therapeutic target for the treatment of neuropathic pain, and may help address the unmet medical need in the management of NMOSD-associated neuropathic pain. As exemplified by the present case, individualized management, and therapy for patients with NMOSD are essential. Our case report provides new ideas for the management of patients with refractory NMOSD and patients with subsequent severe neuropathic pain.</p>","PeriodicalId":18549,"journal":{"name":"Medicine","volume":"104 14","pages":"e42067"},"PeriodicalIF":1.3,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143803762","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Analysis of risk factors for gastrointestinal bleeding in percutaneous coronary intervention patients treated with dual antiplatelet therapy after surgery.","authors":"Caiping Chen, Huimin Fan, Renya Shuai","doi":"10.1097/MD.0000000000041935","DOIUrl":"10.1097/MD.0000000000041935","url":null,"abstract":"<p><p>Following percutaneous coronary intervention (PCI), dual antiplatelet therapy (DAPT) is key to preventing thrombosis. However, the use of DAPT is strongly associated with an increased risk of Gastrointestinal Bleeding, which not only affects patient recovery but also increases the healthcare burden. This study aims to determine the influence of past medical history and factors during hospitalization on the development of postoperative GIB in patients undergoing PCI with DAPT. A total of 380 patients were collected in this study. A total of 42 patients developed GIB during the 1-year follow-up period. Preoperative and postoperative clinical data and past medical history of patients were collected to study the correlates affecting the occurrence of GIB in the postoperative period in patients undergoing PCI with DAPT and to establish a prediction model. Single-factor logistic regression analysis showed: gender, age, past history of bleeding, past history of cancer or tumor, smoking history, history of heart failure, history of PPI use, renal insufficiency, and hypoproteinemia are potential risk factors that may influence the occurrence of GIB postoperatively in patients undergoing DAPT for PCI, P < .2. The data obtained were further included in multi-factor logistic regression analysis: gender (female), past history of bleeding, past history of cancer or tumor, smoking history, heart failure, renal insufficiency were independent risk factors influencing the occurrence of GIB postoperatively in PCI patients undergoing DAPT, P < .05. The findings of this study confirm that gender (female), past history of bleeding, past history of cancer or tumor, smoking history, heart failure and renal insufficiency are independent risk factors for the development of GIB postoperatively in PCI patients undergoing DAPT.</p>","PeriodicalId":18549,"journal":{"name":"Medicine","volume":"104 14","pages":"e41935"},"PeriodicalIF":1.3,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143803829","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The assessment of complementary and alternative medicine use in acne vulgaris patients in Turkey: A cross-sectional study: Erratum.","authors":"Bahar Ürün Ünal, Abdullah Demirbaş, Kamile Marakoğlu, Burcu Gök Erdoğan","doi":"10.1097/MD.0000000000042099","DOIUrl":"10.1097/MD.0000000000042099","url":null,"abstract":"","PeriodicalId":18549,"journal":{"name":"Medicine","volume":"104 14","pages":"e42099"},"PeriodicalIF":1.3,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143803875","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The cardiometabolic index as a predictor of sleep disorders and mortality: A cross-sectional study.","authors":"Zhisen Xu, Xuanfang Qian, Junyao Xu","doi":"10.1097/MD.0000000000042029","DOIUrl":"10.1097/MD.0000000000042029","url":null,"abstract":"<p><p>The cardiometabolic index (CMI) reflects an individual's cardiometabolic health and is linked to the risk of dyslipidemia, obesity, hyperglycemia, and hypertension. These risk factors not only increase the likelihood of cardiovascular disease but are also strongly associated with sleep issues such as sleep apnea and insomnia. However, the relationship between CMI and the risk of sleep disorders remains unclear. This study aimed to investigate the association between CMI and sleep disorder-related morbidity and mortality. This cross-sectional study utilized data from 6220 adults aged ≥ 20 years from the National Health and Nutrition Examination Survey (2007-2014). The CMI was calculated as [waist circumference (cm)/height (cm)] × [triglycerides (mmol/L)/high-density lipoprotein-C (mmol/L)], reflecting metabolic risk. Participants were categorized into 3 CMI tertiles (Q1-Q3). Based on survey data, participants were classified into sleep disorder and non-sleep disorder groups. The analysis included logistic regression, subgroup analysis, forest plots, and survival analysis. The average age of participants was 49 ± 18.00 years; 49% were male. The high-CMI group had older participants, more males, higher body mass index, higher triglycerides, and more hypertension (P < .001). Higher CMI was significantly associated with an increased risk of sleep disorders (odds ratio [OR] = 1.11, 95% CI: 1.02 to 1.21, P = .017), with the prevalence being greater in Q3 than in Q1 (OR = 1.46, 95% CI: 1.27 to 1.68, P ≤ .001). After adjusting for demographics, the association persisted (OR = 1.13, 95% CI: 1.03-1.24, P = .014). The mortality rate was also higher in the high-CMI group (P≤.001), with a 34% increased risk of death (OR = 1.34, 95% CI: 1.08-1.67, P = .021). The study found that a higher CMI is associated with increased risks of sleep disorders and mortality. Understanding this relationship may help in monitoring cardiometabolic health and assessing sleep disorder severity. CMI could serve as a cost-effective indicator for sleep disorder assessment.</p>","PeriodicalId":18549,"journal":{"name":"Medicine","volume":"104 14","pages":"e42029"},"PeriodicalIF":1.3,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143803878","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ureteral orifice edema and stenting challenges in diabetic patients: Lessons from a case report.","authors":"Shuang Guo, Yunxi Hu, Zhongwei Liu, Denghui Huang, Wenjiang Yang","doi":"10.1097/MD.0000000000042069","DOIUrl":"10.1097/MD.0000000000042069","url":null,"abstract":"<p><strong>Rationale: </strong>Ureteral stones, particularly in elderly patients, pose significant clinical challenges due to their association with severe pain, infection, and urinary obstruction. While the introduction of minimally invasive techniques, such as ureteroscopy and ureteral stenting, has revolutionized treatment, gaps remain in understanding how comorbid conditions like diabetes affect patient outcomes.</p><p><strong>Patient concerns: </strong>A 68-year-old male patient was admitted to our hospital for 3 days due to left lumbar and abdominal pain accompanied by fever.</p><p><strong>Diagnoses: </strong>Abdominal computed tomography revealed sediment calculi in the left lower ureter and significant exudative changes in the left kidney. Through laboratory examination, procalcitonin and other inflammatory indicators were significantly elevated. The diagnosis was ureteral calculi with infection.</p><p><strong>Interventions: </strong>Transurethral ureteral stenting.</p><p><strong>Outcomes: </strong>The patient was discharged 3 days after surgery, and the inflammation index returned to normal. The ureteral stent was removed at a 2-week follow-up.</p><p><strong>Lessons: </strong>Key findings include the identification of significant challenges in locating the ureteral orifice, the successful use of stenting to manage both infection and obstruction, and the importance of minimally invasive interventions in diabetic patients. The case also emphasizes the role of diabetes in complicating ureteral stone management due to its impact on immune response and healing. This report contributes to the existing literature by providing insights into the complex anatomical and pathological factors that can complicate ureteral stent placement in diabetic and elderly patients.</p>","PeriodicalId":18549,"journal":{"name":"Medicine","volume":"104 14","pages":"e42069"},"PeriodicalIF":1.3,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143803526","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Infectious disease-specific health literacy and its influencing factors: Research results based on a cross-sectional design study carried out in Shandong Province's rural areas.","authors":"Xin Wang, Xueli Zhang, Shuyu Chen, Keqing Shi, Wenhui Cui, Fuyan Shi, Suzhen Wang, Qiang Wang","doi":"10.1097/MD.0000000000042084","DOIUrl":"10.1097/MD.0000000000042084","url":null,"abstract":"<p><p>Rural residents face a higher risk of infectious diseases, and infectious disease-specific health literacy (IDSHL) is a crucial means of managing these risks. This study intended to survey the levels of IDSHL among rural residents in Shandong Province, China, and explore the influencing factors of IDSHL. In 2022, a cross-sectional design investigation was carried out in Shandong Province of China, involving 2283 participants recruited through a multistage sampling approach in rural regions. A cognitive questionnaire was used to assess participants' levels of IDSHL. Pearson χ2 test was performed to compare the differences in the distribution of categorical variables between the adequate and inadequate IDSHL groups. Multicollinearity diagnosis analysis was utilized to evaluate multicollinearity. Multiple logistic regression was used to detect the possible influencing factors of IDSHL. Among the participants, 31.80% had adequate IDSHL. Multiple logistic regression demonstrated that education (odds ratio (OR)junior high school = .71, 95% confidence interval (CI) of OR: 0.51-0.99, P = .04; ORuniversity or above = 2.62, 95% CI of OR: 1.67-4.11, P < .01), occupation (ORbusiness = 2.19, 95% CI of OR: 1.34-3.57, P < .01; ORothers = 1.46, 95% CI of OR: 1.02-2.10, P = .04), family income (OR1-3 10,000 RMB = 2.83, 95% CI of OR: 1.98-4.05, P < .01; OR3-6 10,000 RMB = 1.75, 95% CI of OR: 1.21-2.53, P < .01), \"whether the participant used a smartphone in daily life\" (OR = 2.02, 95% CI of OR: 1.32-3.09, P < .01) and \"whether knowledge of infectious disease prevention and control could be acquired\" (OR = 11.77, 95% CI of OR: 6.44-21.54, P < .01) were associated with adequate IDSHL. The rural residents' level of adequate IDSHL in China's Shandong Province, was unsatisfactory. Special health education is needed to be implemented to enhance rural residents' IDSHL and should target key populations with low levels of IDSHL.</p>","PeriodicalId":18549,"journal":{"name":"Medicine","volume":"104 14","pages":"e42084"},"PeriodicalIF":1.3,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143803742","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Post-vitrectomy endophthalmitis complicated with orbital cellulitis treated with hyperbaric oxygen therapy: A case report.","authors":"Yi-Ju Shen, Li-Ching Liu, I-Chia Liang","doi":"10.1097/MD.0000000000042043","DOIUrl":"10.1097/MD.0000000000042043","url":null,"abstract":"<p><strong>Rationale: </strong>Infectious endophthalmitis developed in silicone oil (SO)-filled eyes after pars plana vitrectomy is a very rare but serious complication. Hyperbaric oxygen therapy (HBOT) has been reported to be effective in few studies of infectious endophthalmitis and orbital cellulitis.</p><p><strong>Patient concerns: </strong>This study reported a case of 71-year-old female with swelling of her left eye 1 week after pars plana vitrectomy and SO tamponade.</p><p><strong>Diagnoses: </strong>Acute infectious endophthalmitis complicated with orbital cellulitis and compartment syndrome in a postvitrectomy SO-filled eye.</p><p><strong>Interventions: </strong>Intravitreal injection of antibiotics and HBOT.</p><p><strong>Outcomes: </strong>The severe inflammatory condition of soft tissue with compartment syndrome and elevated intraocular pressure which could not be controlled ameliorated markedly after initiation of HBOT.</p><p><strong>Lessons: </strong>By taking advantages of the features of HBOT, it may be a good adjuvant treatment option for endophthalmitis cases along with antibiotics and surgical therapy.</p>","PeriodicalId":18549,"journal":{"name":"Medicine","volume":"104 14","pages":"e42043"},"PeriodicalIF":1.3,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143803744","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Esophageal magnetic anastomosis for long gap congenital esophageal atresia: A case report.","authors":"Hefeng Wang, Tingzhen Yuan, Jinliang Zhang, Fengyu Gao, Lifeng Liu","doi":"10.1097/MD.0000000000042041","DOIUrl":"10.1097/MD.0000000000042041","url":null,"abstract":"<p><strong>Rationale: </strong>Long gap esophageal atresia (LGEA) is a rare congenital malformation. Magnamosis represents a minimally invasive technique for LGEA to achieve esophageal recanalization for feeding. Few cases had been reported worldwide.</p><p><strong>Patient concerns: </strong>An infant was diagnosed as congenital esophageal atresia by using prenatal ultrasound imaging including the absence of gastric bubble and polyhydramnios.</p><p><strong>Diagnoses: </strong>LGEA was confirmed after birth by esophagography through the gastrostomy and esophagus simultaneously.</p><p><strong>Interventions: </strong>Laparoscopic gastrostomy was performed on the 3rd day after birth to obtain nutrition. The esophagus was prolonged from the proximal and distal blind end weekly starting from 2 weeks after gastrostomy. Magnamosis was achieved with the help of thoracoscopy. The proximal and distal esophagus were fully separated and released under thoracoscopy. Two magnets were introduced into the proximal and distal esophageal pouch respectively. Chest X-rays were performed to demonstrate a progressive reduction of inter magnetic space. The esophageal imaging confirmed that the esophagus is connected, and the magnets were removed from mouth. An anastomotic leak was found, and the leak healed within 2 weeks.</p><p><strong>Outcomes: </strong>The infant achieved esophageal recanalization through magnetic anastomosis, allowing for oral feeding and maintained her native esophagus. Esophageal stenosis occurred at 4 weeks after magnetic anastomosis without other complications. Endoscopic balloon dilation was performed. The infant was followed up for 6 months, and exhibited durable esophageal patency with a good nutrition.</p><p><strong>Lessons: </strong>This result suggests that magnetic anastomosis is a feasible and effective treatment for LGEA in infants.</p>","PeriodicalId":18549,"journal":{"name":"Medicine","volume":"104 14","pages":"e42041"},"PeriodicalIF":1.3,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143803326","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}