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One-step endoscopic removal of a giant double esophageal fibrovascular polyp

机译:一步内窥镜切除巨大的双食管纤维血管息肉

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摘要

A 51-year-old woman was evaluated because of mass regur-gitation through the mouth (Fig. 1A), which she held in place byswallowing repeatedly. On upper endoscopy, two long polypoid lesions (Fig. 1B) extended from the cervical oesophagus, below the cricopharyngeal muscle, into the stomach. Multidetector computed tomography showed normal vascularity. After consultation with the surgeon we decided to remove the polyps endoscopically. The procedure was performed in the operating room with the patient under general anaesthesia, using an operative, single channel endo-scope. We were able to trap the polyps in the snare and, with gentle twisting movements, we pulled back the endoscope, reached the base, and cut the stalk using blended current (Fig. 1C).
机译:对一名51岁妇女进行了评估,原因是其通过口进行大量反流(图1A),她通过反复吞咽使其保持就位。在上镜检查中,两个长的息肉状病变(图1B)从宫颈咽部,位于咽咽肌下方延伸到胃中。多探测器计算机断层扫描显示正常血管。与外科医生协商后,我们决定在内窥镜下切除息肉。该过程是在手术室中使用可手术的单通道内窥镜在患者全身麻醉下进行的。我们能够将息肉捕获在圈套器中,并通过轻轻的扭曲动作将内窥镜拉回,到达底部,并使用混合电流切断茎杆(图1C)。

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