Endoscopic therapy of colorectal anastomotic hematoma with hypertonic dextrose  

内镜下高渗葡萄糖治疗结直肠吻合口血肿

作　　者：Preeti Shashi Gursimran Kochhar Bo Shen 

机构地区：[1]The Interventional IBD Unit,Department of Gastroenterology,Hepatology&Nutrition,Digestive Disease and Surgery Institute,Cleveland Clinic Foundation,Cleveland,OH 44195,USA

出　　处：《Gastroenterology Report》2019年第6期455-458,I0003,共5页胃肠病学报道（英文）

摘　　要：Anastomotic dehiscence and leak are dreaded complications after a colorectal resection and can often present with rectal bleeding and pelvic abscess or sepsis.Although most cases of bleeding after gastrointestinal anastomoses are minor and self-limited,major bleeding,as defined by hemodynamic instability or the need for blood transfusions,poses a significant challenge for management.Here we report a case in which a patient presenting with profuse rectal bleeding and pelvic hematoma secondary to a colorectal anastomotic leak was treated endoscopically with 50%dextrose spray then enema.

关 键 词：ENDOSCOPY gastrointestinal bleeding DEXTROSE 

分 类 号：R656[医药卫生—外科学]