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山东大学学报(医学版) ›› 2017, Vol. 55 ›› Issue (8): 104-106.doi: 10.6040/j.issn.1671-7554.0.2017.366

• 病例报道 • 上一篇    下一篇

成功应用单气囊小肠镜治疗山楂石所致小肠梗阻1例

马田,刘冠群,于岩波,李延青,左秀丽   

  1. 山东大学齐鲁医院消化内科, 山东 济南 250012
  • 收稿日期:2017-04-27 出版日期:2017-08-10 发布日期:2017-08-10
  • 通讯作者: 左秀丽. E-mail:xiulizuo@gmail.com E-mail:xiulizuo@gmail.com

Phytobezoar-induced small-bowel obstruction successfully treated with single-balloon enteroscopy: a case report

MA Tian, LIU Guanqun, YU Yanbo, LI Yanqing, ZUO Xiuli   

  1. Department of Gastroenterology, Qilu Hospital of Shandong University, Jinan 250012, Shandong, China
  • Received:2017-04-27 Online:2017-08-10 Published:2017-08-10

摘要: 胃石症好发于秋冬季节,是我国北方一种较常见的疾病。胃石脱落至小肠造成的小肠梗阻占据了肠梗阻病例的4%。这部分患者往往需要行外科手术治疗,通过小肠镜进行碎石达到治疗目的的病例非常少见,且部分病例因治疗后再梗阻导致治疗失败。通过介绍1例成功应用单气囊小肠镜进行诊断和治疗的小肠山楂石梗阻的病例,展现小肠镜碎石的过程,提供一些治疗及辅助治疗的相关经验。应用气囊辅助式小肠镜治疗植物性异物石引起的小肠梗阻安全、有效、迅速且微创,可以一定程度上替代外科手术,具有重要的临床意义,是治疗植物性异物石引起的小肠梗阻的一种新选择。

关键词: 小肠梗阻, 植物性胃石, 单气囊小肠镜

Abstract: Bezoars are not rare in northern China, especially in autumn and winter. Bezoar-induced small-bowel obstruction accounts for 4% cases of bowel obstruction. To our knowledge, only a few cases have been treated with balloon-assisted enteroscopy, and some have failed because of postoperative re-obstruction. In this paper, by introducing a case with phytobezoar-induced small-bowel obstruction successfully treated with single-balloon enteroscopy, we intend to show the procedures of endoscopic treatment and introduce our experience to prevent re-obstruction. Enteroscopy, an effective, safe, convenient and minimal invasive approach, can substitute surgery in the treatment of phytobezoar-induced small-bowel obstruction.

Key words: Phytobezoar, Small-bowel obstruction, Single-balloon enteroscopy

中图分类号: 

  • R574
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