诊断性结肠镜检查时的大尺寸医源性结肠穿孔

Gastrointestinal Intervention Pub Date : 2018-07-31 DOI:10.18528/GII180023

S. Shin, E. Park, Jae Jun Park

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引用次数: 0

摘要

事件摘要：诊断性结肠镜检查中出现2cm大小的结肠穿孔。立即使用可拆卸圈套器进行内窥镜闭合，并使用静脉抗生素保守治疗数天。然而，腹部计算机断层扫描显示巨大的脓肿及其与乙状结肠的连接。患者接受了节段性结肠切除术，显示穿孔病变不完全闭合，伴有严重的浆膜纤维变性。教学要点：大型结肠穿孔的内镜治疗应谨慎进行，因为不完全闭合的可能性很高。对于大面积结肠穿孔，应优先考虑早期手术治疗，而不是内镜治疗。版权所有©2018，胃肠道干预学会。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Large-sized iatrogenic colonic perforation during diagnostic colonoscopy

Summary of Event: A 2 cm-sized colonic perforation occurred during diagnostic colonoscopy. Endoscopic closure was performed immediately using detachable snare and conservative management with intravenous antibiotics was followed for several days. However, abdominal computed tomography showed huge abscess and its connection to the sigmoid colon. The patient underwent segmental colectomy, which revealed the incomplete closure of perforated lesion with severe serosal fibrotic change. Teaching Point: Endoscopic treatment of large-sized colonic perforations should be undertaken with caution since the possibility of incomplete closure is high. For large-sized colonic perforations, early surgical treatment should be preferentially considered over endoscopic treatment. Copyright © 2018, Society of Gastrointestinal Intervention.

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来源期刊

Gastrointestinal Intervention

自引率

0.00%

发文量

审稿时长

24 weeks

期刊介绍： IJGII (pISSN 2636-0004, eISSN 2636-0012) was published four times a year on the last day of January, April, July, and October, which has effected from January 1 in 2019. This Journal was first published biannually on June and December, beginning in December 2012 under the title ‘Gastrointestinal Intervention’ (former pISSN 2213-1795, eISSN 2213-1809) and was changed to be published three times a year from 2016. Commencing with the January 2019 issue, the Journal was renamed ‘International Journal of Gastrointestinal Intervention’. As the official journal of the Society of Gastrointestinal Intervention (SGI), International Journal of Gastrointestinal Intervention (IJGII) delivers original, peer-reviewed articles for gastroenterologists, interventional radiologists, surgeons, gastrointestinal oncologists, nurses and technicians who need current and reliable information on the interventional treatment of gastrointestinal and hepatopancreaticobiliary diseases. Regular features also include ‘state-of-the-art’ review articles by leading authorities throughout the world. IJGII will become an international forum for the description and discussion of the various aspects of interventional radiology, endoscopy and minimally invasive surgery.