Complication of transesophageal fine-needle aspiration of the mediastinal lymph nodes. Clinical observation

I. N. Iurichev, O. Malikhova, S. Gerasimov, V. Vereshchak
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Abstract

Ultrasound-guided fine-needle aspiration is an invasive intervention which is used for diagnosis of additional formations of the walls of the gastrointestinal tract, as well as focal pathologies beyond it. Many reports indicate high diagnostic effectiveness and safety of this method but with increasing number of aspirations endoscopists start to encounter rare complications of this manipulation. The article presents a description of a rare complication which arose during transesophageal fine-needle aspiration, as well as a correct algorithm of patient management in the post-manipulation period.Determination of the correct strategy of patient management led to favorable outcome of the complication and determination of the final clinical diagnosis.
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经食管纵隔淋巴结细针穿刺的并发症。临床观察
超声引导下的细针穿刺是一种侵入性干预,用于诊断胃肠道壁的额外形成,以及它之外的局灶性病变。许多报告表明这种方法具有较高的诊断有效性和安全性,但随着越来越多的期望内镜医师开始遇到这种操作的罕见并发症。本文报告一例经食道细针穿刺术中出现的罕见并发症,以及操作后患者处理的正确方法。确定正确的患者管理策略可导致并发症的良好结局和最终临床诊断的确定。
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