CAJ | 학술논문

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.
목적 탐토곤방식이위문합술후상소화도출혈적내경치료조시.방법 대2009년1월지2011년12월행곤방식이위문합술후발생상소화도출혈적5례환자,위경검사균견위내이선조직표면복개암홍색혈괴급배사조직,반복충세후견이선조직다처산재삼혈,행위경직시하응혈매분쇄、아기도、조직점합제치료,탐토각충지혈조시적치료효과.결과 1례응혈매분쇄급아기도치료지혈,2례응혈매분쇄급아기도치료무효개위조직점합제주사치료,령량례직접진행조직점합제주사치료,최종소유병례지혈성공,무일례접수수술치료.결론 위경직시하적조직점합제주사시치료곤방식이위문합술후상소화도출혈적유효수단,가이피면이차수술.
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 pancreaticogastrostomy.Secondary surgery can be avoided.