用尼龙绳和金属夹进行钱包绳缝合,在内窥镜下治疗十二指肠瘘:病例报告

Lei Wang, Ruiya Zhang, Bochu Wang, Guoxiong Zhou, Xiaorong Zhou, Run Meng
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摘要

在内窥镜下用尼龙绳和金属夹进行钱包绳缝合是一种新型的微创治疗技术,尤其适用于十二指肠瘘等胃肠道瘘管或穿孔的闭合和修复。十二指肠瘘通常由医疗操作、疾病进展或外伤引起。一旦发生,就会导致一系列病理生理变化和各种并发症。在大多数情况下,这些并发症会加剧机体的损伤,而且并发症难以治疗,可导致感染、营养流失、多器官功能障碍和许多其他不良反应。在本病例报告中,介绍并讨论了使用内镜尼龙绳结合荷包缝合和金属夹治疗十二指肠瘘的方法。患者接受了内镜下荷包缝合治疗,十二指肠瘘得到了明显改善。结果表明,内镜下荷包缝合术是治疗十二指肠瘘的有效策略。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Purse-string suture with nylon cords and metal clips for the treatment of duodenal fistulae under the endoscope: a case report
Purse-string suture with nylon cords and metal clips under the endoscope is a novel therapeutic technique which is minimally invasive and it is particularly indicated for the closure and repair of gastrointestinal fistula or perforations such as duodenal fistulae. Duodenal fistulae are often caused by medical manipulation, disease progression or trauma. Once this occurs, it leads to a series of pathophysiologic changes and a variety of complications. In most cases, these complications will exacerbate the damage to the organism, and the complications are difficult to treat and can lead to infections, nutrient loss, multi-organ dysfunction and many other adverse effects. In this case report, the use of endoscopic nylon cords combined with purse-string suture and metal clips in the treatment of duodenal fistula is presented and discussed. The patient was treated with endoscopic purse-string suture and the duodenal fistula was significantly improved. The results indicate that endoscopic purse-string suture is an effective strategy for the treatment of duodenal fistulae.
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