成功应用单气囊小肠镜治疗山楂石所致小肠梗阻1例  

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

作　　者：马田[1] 刘冠群[1] 于岩波[1] 李延青[1] 左秀丽[1] 

机构地区：[1]山东大学齐鲁医院消化内科,山东济南250012

出　　处：《山东大学学报（医学版）》2017年第8期104-106,112,共4页Journal of Shandong University:Health Sciences

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。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 fewcases 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 showthe 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.

关 键 词：植物性胃石 小肠梗阻 单气囊小肠镜 

分 类 号：R574[医药卫生—消化系统]