结肠镜辅助治疗儿童肠套叠15例报告

I. Shahramian, B. Behi, Mehrdad Salahifar, Ali Mirabbasi
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引用次数: 0

摘要

结肠镜检查在纠正儿童肠套叠中的治疗作用的报道很少。在本报告中,15名儿童(14名男孩和1名女孩)提出了急性肠套叠,并通过结肠镜检查成功治疗。患者于2015年至2018年转诊至伊朗Zabol Ami-Al-Momenin医院的胃肠病学诊所。患者平均年龄36.6±28.7个月。确诊后,他们接受了由经验丰富的胃肠病学家进行的结肠镜下肠套叠复位。术后24小时,行超声随访。总的来说,4例(26.7%)患者中有6例复发,这些患者接受了第二次结肠镜检查。在两名最终接受手术复位的患者中发现了第二次复发。关于结肠镜检查在提供视觉和实时设置方面的作用,它可以作为儿童肠套叠复位放射学和外科手术的主要选择或替代方法。
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Colonoscopy-Assisted Resolving of Intussusception in Children, a Report of 15 Cases
There are few reports on the therapeutic role of colonoscopy in correcting intussusception of childhood. In the present report, 15 children (14 boys and 1 girl) presented with acute intussusception and successfully treated by colonoscopy were presented. The patients were referred to the gastroenterology clinic of Ami-Al-Momenin Hospital, Zabol, Iran from 2015 to 2018. The mean age of the patients was 36.6±28.7 months. After stablishing the diagnosis, they underwent colonoscopic reduction of intussusception by an experienced gastroenterologist. Following 24 hours of the procedure, follow up sonography was performed. Overall, 6 recurrences were identified in 4 (26.7%) patients which were managed by a second colonoscopy. A second recurrence was detected in two patients who finally underwent surgical reduction. Regarding the role of colonoscopy in providing a visual and real-time setting, this can be used as either a primary option or an alternative to radiologic and surgical procedures of intussusception reduction in children.
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