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首页> 外文期刊>Surgical Endoscopy >Endoscopic laser fragmentation and removal of a nonremovable metal esophageal stent for persistent dysphagia: A technical note
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Endoscopic laser fragmentation and removal of a nonremovable metal esophageal stent for persistent dysphagia: A technical note

机译：内镜激光碎裂术和永久性吞咽困难的不可摘除金属食管支架的去除：技术说明

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Background Self-expanding metal stents are widely used in the palliation of esophageal diseases (Todd, N Engl J Med 344 (22):1681-1687, 2001). The majority are inserted for end-stage malignancy and are not designed to be removed. Methods Wereport the first recorded successful endoscopic removal of an irremovable'' stent by laser fragmentation after its placement became redundant.A72-year-oldmanwho had persistent dysphagia after esophageal stent insertion for Boerhaave's syndrome had his stent removed by Nd-YAG laser fragmentation at staged endoscopies. Results The stent was removed in its entirety and the patients' symptoms resolved. Conclusions We describe a successful technique for the removal of a nonretrievable stent using laser fracture and endoscopic retrieval. This method of stent removal has not been previously reported.
机译：背景技术自膨胀金属支架广泛用于减轻食道疾病（Todd，N Engl J Med 344（22）：1681-1687，2001）。大部分是为了晚期恶性肿瘤而插入的，并非为了切除而设计的。方法报道了首次记录成功的内镜手术后成功地通过激光碎裂术成功切除了一个无法切除的支架，其中一名72岁的Boerhaave综合征食管支架置入术后持续性吞咽困难的患者在分期通过Nd-YAG激光破碎术切除了其支架内窥镜检查。结果支架全部拆除，患者症状消失。结论我们描述了一种成功的技术，该技术可通过激光骨折和内窥镜取出术去除不可挽回的支架。先前没有报道过这种支架去除方法。

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