摘要
目的探讨捆绑式胰胃吻合术后上消化道出血的内镜治疗措施。方法对2009年1月至2011年12月行捆绑式胰胃吻合术后发生上消化道出血的5例患者，胃镜检查均见胃内胰腺组织表面覆盖暗红色血块及坏死组织，反复冲洗后见胰腺组织多处散在渗血，行胃镜直视下凝血酶喷洒、氩气刀、组织黏合剂治疗，探讨各种止血措施的治疗效果。结果1例凝血酶喷洒及氩气刀治疗止血，2例凝血酶喷洒及氩气刀治疗无效改为组织黏合剂注射治疗，另两例直接进行组织黏合剂注射治疗，最终所有病例止血成功，无一例接受手术治疗。结论胃镜直视下的组织黏合剂注射是治疗捆绑式胰胃吻合术后上消化道出血的有效手段，可以避免二次手术。
Objective To study endoscopic treatment of upper gastrointestinal hemorrhage after binding pancreaticogastrostomy. Methods We colleted data of all patients who developed upper gastrointestinal bleeding after binding pancreaticogastrostomy from January 2009 to December 2011. We treated hemorrhage with different methods including thrombin spray, APC, tissue adhesive agents and evaluated the effect of different treatments. Results There were 5 patients with postoperative hemorrhage. One was cured by thrombin spray and APC. Four others received tissue adhesive injection. All patients were cured and no one received surgery. Conclusion The tissue adhesive injection is an effective method to treat the postoperative hemorrhage of Secondary surgerycan be avoided
出处
《中华消化内镜杂志》
2013年第3期142-144,共3页
Chinese Journal of Digestive Endoscopy
关键词
出血
捆绑式胰胃吻合术
胃镜治疗
Hemorrhage
Binding pancreaticogastrostomy
Endoscopic treatment
