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内镜引导下吻合口瘘冲洗治疗食管胃吻合口瘘合并瘘旁脓肿临床疗效观察 被引量:4
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作者 祝子逸 郦志军 +1 位作者 何正富 王云震 《浙江大学学报(医学版)》 CAS CSCD 北大核心 2017年第6期637-642,共6页
目的:分析内镜引导下吻合口瘘冲洗(ETFD)治疗食管胃吻合口瘘合并瘘旁脓肿的疗效和安全性。方法:收集浙江大学医学院附属邵逸夫医院胸外科2012年2月至2017年2月食管癌术后吻合口瘘合并瘘旁脓肿的15例患者的资料,其中7例施行ETFD治疗,8例... 目的:分析内镜引导下吻合口瘘冲洗(ETFD)治疗食管胃吻合口瘘合并瘘旁脓肿的疗效和安全性。方法:收集浙江大学医学院附属邵逸夫医院胸外科2012年2月至2017年2月食管癌术后吻合口瘘合并瘘旁脓肿的15例患者的资料,其中7例施行ETFD治疗,8例采用传统治疗方法。统计分析患者治疗后炎症指标和瘘口变化、食管癌术后住院天数和住院总费用等。结果:7例ETFD治疗患者吻合口瘘均成功愈合,患者外周血白细胞计数恢复正常时间和C反应蛋白量开始下降时间较传统治疗患者提前,瘘口愈合时间、食管癌术后住院天数缩短,住院总费用降低(均P<0.05)。结论:ETFD治疗食管癌术后食管胃吻合口瘘合并瘘旁脓肿安全有效。 展开更多
关键词 食管肿瘤/外科学 手术后并发症 吻合术 外科 胃痿/治疗 食管 瘘/治疗 内窥镜检查 引流术 脓肿/治疗 治疗结果
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Diagnosis and endoscopic treatment of esophago-bronchial fistula due to gastric heterotopy 被引量:2
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作者 Konstantinos H Katsanos Dimitrios K Christodoulou +6 位作者 Sevasti Kamina Kosmidou Maria Evangelia Lambri Stavroula Theodorou Konstantinos Tsampoulas Mitsi Vasiliki Epameinondas V Tsianos 《World Journal of Gastrointestinal Endoscopy》 CAS 2010年第4期138-142,共5页
Heterotopic gastric mucosa patches are congenital gastrointestinal abnormalities and have been reported to occur anywhere along the gastrointestinal tract from mouth to anus.Complications of heterotopic gastric mucosa... Heterotopic gastric mucosa patches are congenital gastrointestinal abnormalities and have been reported to occur anywhere along the gastrointestinal tract from mouth to anus.Complications of heterotopic gastric mucosa include dysphagia,upper gastrointestinal bleeding,upper esophageal ring stricture,adenocarcinoma and fistula formation.In this case report we describe the diagnosis and treatment of the first case of esophago-bronchial fistula due to heterotopic gastric mucosa in mid esophagus.A 40-year old former professional soccer player was referred to our department for treatment of an esophago-bronchial fistula.Microscopic examination of the biopsies taken from the esophageal fistula revealed the presence of gastric heterotopic mucosa.We decided to do a non-surgical therapeutic endoscopic procedure.A sclerotherapy catheter was inserted through which 1 mL of ready to use synthetic surgical glue was applied in the fistula and it closed the fistula opening with excellent results. 展开更多
关键词 GASTRIC heterotopy esophago-bronchial fistula Ectopic GASTRIC MUCOSA HETEROTOPIC GASTRIC MUCOSA esophagus esophageal fistula therapy
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