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国际临床研究杂志

International Journal of Clinical Research

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International Journal of Clinical Research. 2023; 7: (10) ; 10.12208/j.ijcr.20230326 .

Gastric perforation with titanium clip closure following endoscopic argon plasmacoagulation therapy of gastric fundus polyp: one case report
内镜下氩离子凝固术治疗胃底息肉致胃穿孔并钛夹封闭治疗1例

作者: 武育卫 *, 年影, 徐美真

中国人民解放军联勤保障部队第九八九医院消化内科 河南洛阳

*通讯作者: 武育卫,单位:中国人民解放军联勤保障部队第九八九医院消化内科 河南洛阳;

引用本文: 武育卫, 年影, 徐美真 内镜下氩离子凝固术治疗胃底息肉致胃穿孔并钛夹封闭治疗1例[J]. 国际临床研究杂志, 2023; 7: (10) : 15-17.
Published: 2023/10/22 17:48:09

摘要

内镜下氩离子凝固术是治疗胃息肉的常用方法之一,但内镜下氩离子凝固术治疗胃息肉导致胃穿孔发生,临床上极其罕见,报道极少。现报道1例我院胃底息肉患者行内镜下氩离子凝固术治疗后,导致急性胃穿孔发生,出现腹痛和腹膜炎体征,经内镜下5枚钛夹密集封闭创面,并给予抑酸、抗炎、营养支持等内科保守治疗,临床痊愈后出院,取得良好效果。

关键词: 内镜下氩离子凝固术;胃底息肉;胃穿孔;钛夹封闭治疗

Abstract

Endoscopic argon plasma coagulation is one of the common methods for the treatment of gastric polyp, but gastric perforation following endoscopic argon plasma coagulation therapy of gastric polyp is rare and few report. Here, we reported one case acute gastric perforation after endoscopic argon plasma coagulation in the treatment of gastric fundus polyp, and abdominal pain and peritonitis, the patient recovered and discharged after close the wound with 5 titanium clips under endoscope and acid suppression and anti-inflammatory and nutritional support and other medical conservative treatment, achieve good results.

Key words: Endoscopic argon plasma coagulation; gastric fundus polyp; Gastric perforation; Titanium clip closure therapy

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