摘要
内镜下黏膜切除术(EMR)和内镜下黏膜剥离术(ESD)现已广泛应用于消化道黏膜表浅病变的治疗。电凝综合征和迟发性肠穿孔作为内镜下治疗术后常见的并发症,两者早期临床表现相似,但治疗方法和预后存在较大差异,迟发性肠穿孔保守治疗效果欠佳。本文报道1例横结肠息肉患者行EMR后发生迟发性肠穿孔,经抗感染、腹腔穿刺及引流等保守治疗后,患者恢复良好,为迟发性肠穿孔保守治疗提供借鉴。
Endoscopic mucosal resection（ EMR） and endoscopic submucosal dissection（ ESD） are widely used for the treatment of superficial mucosal lesions of the digestive tract. Although both electrocoagulation syndrome and delayed intestinal perforation are common complications after endoscopic surgical treatment with similar early clinical manifestations,the treatment and prognosis of them are significantly different. The conservative treatment for delayed intestinal perforation is generally poorer. In order to provide a reference for the conservative treatment of delayed intestinal perforation,we reported one case of delayed intestinal perforation after EMR for transverse colonic polyps who recovered well after anti-infection, abdominal puncture and drainage and other conservative treatment.
作者
曹远
石益海
CAO Yuan SHI Yi - hai(Department of Gastroenterology, Shanghai Pudong Gongli Hospital, the Second Military Medical University, 219 Miaopu Road, Shanghai 200135, China)
出处
《中国全科医学》
CAS
北大核心
2017年第29期3689-3691,共3页
Chinese General Practice
基金
上海市浦东新区科技发展基金面上项目(PKJ2016-Y15)
关键词
结肠息肉
内镜下黏膜切除术
肠穿孔
电凝综合征
Colonic polyps
Endoscopic mucosal resection
Intestinal perforation
Electrocoagulation syndrome
