论文部分内容阅读
男,56岁,经几所综合医院确诊为胃扭转,采用手法按摩、X线下复位等多种治疗无效,于1993年4月15日请作者会诊,并要求内镜复位治疗。经复习全部X线片同意胃扭转诊断后,采用Olympus GIF-XQ20型内镜按常规操作行胃镜检查。内镜抵胃体上部时,发现粘膜皱襞已移位于视野左上方(正常成为位于视野下方)。在向胃内较多注气的同时,令患者由左侧卧位转为右侧卧位,并将内镜可屈部钩于胃壁上,在顺钟向旋转镜身的同时,向右下方钩拉。此时,视野中粘膜皱襞突然移位。令患者再回至左侧卧位,经两位内镜医师观察,证实扭转的胃已恢复正常解剖位置,提示转复成功。进一步检查,发现球部有一活动期溃疡。最后内镜诊断为器官轴型不完全性胃扭转并球部溃疡;胃扭转内镜复
Male, 56 years old, confirmed by several general hospitals for gastric torsion, the use of manual massage, X-ray reduction and other treatments ineffective, in April 15, 1993 please the author consultation, and requires endoscopic reduction treatment. After review of all X-ray film agreed to diagnose gastric torsion, the use of Olympus GIF-XQ20 endoscopic routine gastroscopy. When the endoscope reached the upper part of the corpus, it was found that the mucosal folds had shifted to the upper left of the field of vision (normally below the field of view). In the stomach more gas injection at the same time, so that patients from the left lateral position to the right lateral decubitus, and hook the Ministry of curvature of the stomach wall, in the clockwise rotation of the mirror body at the same time, to the lower right Hook pull. At this point, the mucosal folds suddenly shift vision. The patient returned to the left lateral position, the two endoscopists observed, confirmed that the twisted stomach has returned to normal anatomical location, suggesting that the successful recovery. Further examination revealed that the ball had an active ulcer. Finally, endoscopic diagnosis of incomplete axial organ and stomach ulcers; gastric reverse endoscopy