新型消化道瘘封堵器在胸腔胃气管瘘中的临床应用 初探(含视频)
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1.南京医科大学第一附属医院消化内科;2.南京医科大学第一附属医院呼吸与危重症医学科

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基金项目:

国家自然科学基金面上项目(81970499);江苏省医学领军人才与创新团队(CXTDA2017033)


Clinical application research of a novel gastrointestinal occluder device for endoscopic closure of gastrobronchial fistula (with video)
Author:
Affiliation:

Department of Gastroenterology, First Affiliated Hospital of Nanjing Medical University

Fund Project:

National Natural Science Foundation of China (81970499); Medical Leading Talent and Innovation Team of Jiangsu Province (CXTDA2017033)

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    摘要:

    初探一种新型消化道瘘封堵器治疗胸腔胃气管瘘的有效性和安全性。回顾性分析2020年7—8月在南京医科大学第一附属医院消化内科接受新型消化道瘘封堵器治疗的5例胸腔胃气管瘘患者的病例资料。观察患者总手术时间、封堵时间、术中和术后并发症情况、术后住院时间和患者满意度。定期随访,术后1个月进行短期封堵疗效评估。5例患者均为男性,年龄58~69岁,瘘病程3~16个月,瘘口长径0.3~1.0 cm。5例患者均成功置入新型消化道瘘封堵器,总手术时间38~88 min,封堵时间8~24 min。术后住院时间3~5 d,患者满意度评分均为10分。术中、术后均未发生严重并发症。术后1个月,4例患者瘘口完全封堵;1例患者进食呛咳症状完全缓解,但因严重肺部感染继发多脏器功能衰竭于术后1个月死亡。临床应用该新型消化道瘘封堵器治疗胸腔胃气管瘘是有效和相对安全的。

    Abstract:

    To evaluate the therapeutic effectiveness and safety of a novel gastrointestinal occluder device in gastrobronchial fistula. Data of 5 patients diagnosed with gastrobronchial fistula who received a novel gastrointestinal occluder device treatment at the First Affiliated Hospital of Nanjing Medical University admitted from July 2020 to August 2020 were retrospectively analyzed. Clinical data including the technical success rate, total operating time, occluding time, postoperative hospital stay and patients" satisfaction were reviewed and follow-up data were obtained by telephone and hospital readmission. All patients were males with age of 58-69 years. The course of fistula was ranged 3-16 months and the diameter was ranged 0.3-1.0 cm. 5 patients all had technical success. The operating time was ranged 38-88 minutes and the occluding time was ranged 8-24 minutes. The postoperative hospital stay was ranged 3-5 days and the patients’ satisfaction scores was 10. There were no reported severe complications. The short-term occluding outcome was evaluated by symptoms, gastroscopy, bronchoscopy, methylene blue test and gastrography with meglumin diatrizoate 1 month after endoscopic therapy. 4 patients were completely occluded. 1 patient died of severe pulmonary infection and multiple organ failure although there was no previous chock after drinking and eating. Endoscopic closure of gastrointestinal fistulae by means of the novel gastrointestinal occluder device is safe and effective.

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李璐蓉,王继旺,朱昌,等.新型消化道瘘封堵器在胸腔胃气管瘘中的临床应用 初探(含视频)[J].中华消化内镜杂志,2021,38(11):921-924.

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  • 收稿日期:2021-01-10
  • 最后修改日期:2021-08-21
  • 录用日期:2021-03-10
  • 在线发布日期: 2021-11-29
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