在胃蝶鞍病变导致的难以控制的复发性消化道出血中使用挂锁式蝶鞍夹。

IF 0.9 Q3 MEDICINE, GENERAL & INTERNAL
John Joyce, Vishnu Kumar, Dayana Nasr, Ganesh Aswath, Hafiz M Khan, Savio John
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引用次数: 0

摘要

Dieulafoy病变(DL)是急性消化道出血(GIB)的罕见病因。在此,我们描述了使用镜外夹挂锁系统(OTSC-P)治疗胃底 DL 的情况,尽管采取了其他干预措施,该 DL 仍会反复出血。OTSC-P 是为穿孔时的全厚缺损闭合而设计的,但其应用已扩展到 GIB 的治疗。它们由安装在透明帽上的金属夹组成,通过内窥镜传送。它们的尺寸可控制较大的出血病灶,提供更强的组织稳定性,更坚固的夹子可减少再次出血或夹子脱落。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Usage of Padlock Over-the-Scope-Clip in Difficult-to-Control Recurrent Gastrointestinal Bleeding Due to a Gastric Dieulafoy Lesion.

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.

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来源期刊
CiteScore
1.90
自引率
0.00%
发文量
165
审稿时长
12 weeks
期刊介绍: The AFMR is committed to enhancing the training and career development of our members and to furthering its mission to facilitate the conduct of research to improve medical care. Case reports represent an important avenue for trainees (interns, residents, and fellows) and early-stage faculty to demonstrate productive, scholarly activity.
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