Erosion

侵蚀
  • 文章类型: Case Reports
    关于留在或植入体内的异物迁移的报道非常罕见,到目前为止,它们仅在胃肠道和肠道中被报道(类似于吞噬作用的过程),后来表现为管腔阻塞。同时,尚未在心血管系统中报告此类病例。此处报告的病例是一名14个月大的女孩,由于严重的肺动脉高压和无法茁壮成长,在8个月大的时候在肺动脉周围进行了肺动脉带(由PTFE制成的PA带)。六个月后,她接受了再次手术以进行最终治疗。发现PA带不再在肺动脉周围,已完全迁移到肺动脉中,同时保持完整和圆形,并以类似于吞噬作用的过程被吸引到肺动脉中。PA带被完全去除。切除主肺动脉内部的不平坦表面,并对动脉进行端到端修复。再次对患者进行全心脏修复手术。在第二次手术后的2.5年随访中未观察到问题。总的来说,作者的案例是在PA带植入后六个月发生的生物中性异物迁移到心血管系统的第一个实例,以及第一例异物侵蚀进入胃肠道外的管腔。尽管提交人找不到本案的原因,对未来案例的报告可以帮助找到根本原因。
    There have been very rare reports on the migration of foreign bodies that are left or implanted in the body, and so far, they have only been reported in the gastrointestinal tract and intestines (a process similar to phagocytosis), later manifesting as an obstruction in the lumen. Meanwhile, no such cases have yet been reported in the cardiovascular system. The case reported here is a 14-month-old girl who had undergone pulmonary artery banding (PA band made of PTFE) around the pulmonary artery at the age of 8 months due to severe pulmonary hypertension and failure to thrive. She underwent reoperation six months later for a final treatment. It was discovered that the PA band was no longer around the pulmonary artery and had migrated completely into the pulmonary artery while remaining intact and circular and was drawn into the pulmonary artery in a process similar to phagocytosis. The PA band was removed completely. The uneven surface inside the main pulmonary artery was resected and the artery was repaired end-to-end. A total heart repair surgery was again performed on the patient. No problem was observed in the 2.5-year follow-up after the second surgery. Overall, the authors\' case is the first instance of migration of a biologically-neutral foreign body into the cardiovascular system that had occurred six months after the PA-band implantation, and the first case of erosion of a foreign body into the lumen outside the gastrointestinal tract. Although the authors could not find the cause of the presented case, reports on future cases can help find the underlying reason.
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  • 文章类型: Journal Article
    背景:乳头腺瘤是一种相对罕见的良性疾病。临床上,它经常出现乳头糜烂,它应该与佩吉特的疾病区分开来。
    方法:患者是一名63岁女性,主诉左乳头有肿块超过30年。用于筛查充血性心力衰竭的计算机断层扫描显示左侧乳头肿块大小为40mm。穿刺活检显示乳头腺瘤,并进行皮肤活检以确认诊断。乳头肿瘤切除术在局部麻醉下进行,我们证实最终诊断为乳头腺瘤,切缘阴性。自手术以来,患者已2年无复发。
    结论:我们报道了一例巨大乳头腺瘤的病例。
    BACKGROUND: Nipple adenoma is a relatively rare benign disease. Clinically, it often presents with nipple erosions, and it should be differentiated from Paget\'s disease.
    METHODS: The patient was a 63-year-old woman who complained of a lump in her left nipple for more than 30 years. Computed tomography performed for screening congestive heart failure suggested a left nipple mass of 40 mm in size. Needle biopsy revealed nipple adenoma, and skin biopsy was also performed to confirm the diagnosis. Nipple tumor resection was performed under local anesthesia, and we confirmed that the final diagnosis was nipple adenoma with negative margins. The patient has been free from recurrence for 2 years since the surgery.
    CONCLUSIONS: We have reported our experience of a case of giant nipple adenoma.
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  • 文章类型: Case Reports
    牙齿磨损是多因素表现为磨损的组合,自然减员,和侵蚀。该病例报告代表了一名46岁的印度-特立尼达男性的牙齿综合磨损病例,具有主要的侵蚀成分,具有内在和外在侵蚀的临床体征和特征。这种患者的情况是独特的,因为牙齿侵蚀占主导地位的磨损已迅速发生,这是因为缺乏补偿的物理临床表现以及左上前磨牙和磨牙相对不受牙齿磨损的整体影响的影响。这种缺乏补偿,相对的牙齿没有上萌出以保持牙弓间的稳定性,以及由于未磨损的上颌后牙而在左侧保持咬合垂直尺寸,提供了简化后续恢复性管理的好处。医学和饮食史分别证实了内在和外在侵蚀的诊断。牙齿快速磨损引起的并发症,例如牙本质敏感性和牙髓坏死是已知的牙齿磨损的后遗症,然而在这个病例报告中呈现的患者显示出伴随的高龋齿经历和不良的口腔卫生。像这里介绍的这种情况不仅需要全面的牙科管理,利用恢复性方法以及医疗转诊来确认胃食管反流病的诊断和治疗。该患者的管理固有的应该是多学科的医学和牙科方法,通过确认和管理内在侵蚀的原因以及修复性牙科管理,与饮食咨询一起减轻内在和外在来源的酸对牙齿硬组织的影响。从这个案例中学到的一个关键教训是,在试图确定由内在和外在侵蚀主导的牙齿磨损的原因时,历史和有针对性的质疑的重要性。
    Tooth wear is multi-factorial presenting as a combination of abrasion, attrition, and erosion. This case report represents a case of combined tooth wear in a 46-year-old Indo-Trinidadian male, with a predominant erosive component with both the clinical signs and features of intrinsic and extrinsic erosion. This patient case is unique since the wear predominated by dental erosion has occurred rapidly evidenced by the physical clinical appearance of a lack of compensation and the upper left premolars and molars relatively unaffected by the overall effects of tooth wear. This lack of compensation, where opposing teeth have not supra-erupted to maintain inter-arch stability, and the maintenance of occlusal vertical dimension on the left due to the non-worn posterior maxillary teeth, provides the benefit of simplifying subsequent restorative management. The medical and diet history corroborates the diagnoses of intrinsic and extrinsic erosion respectively. Complications noted with rapid tooth wear, such as dentine sensitivity and pulpal necrosis are known sequelae of tooth wear however the patient presented in this case report shows a concomitant high caries experience and poor oral hygiene. Cases such as the one presented here require not only comprehensive dental management, utilizing a restorative approach but also medical referral for confirmation of a diagnosis and management of gastroesophageal reflux disease. Inherent to the management of this patient should be a multidisciplinary medical and dental approach, with confirmation and management of the cause of the intrinsic erosion as well as restorative dental management, together with dietary counseling to mitigate the effect of intrinsic and extrinsic sources of acid on dental hard tissue. A key lesson learned from this case is the importance of history and targeted questioning when trying to determine the cause of tooth wear dominated by intrinsic and extrinsic erosion.
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  • 文章类型: Case Reports
    Noncarious lesions, a multifactorial condition encompassing tooth attrition, abrasion, and erosion, have a surge in prevalence and required increased attention in clinical practice. These nonbacterial-associated tooth defects can compromise aesthetics, phonetics, and masticatory functions. When providing full-arch fixed occlusal rehabilitation for such cases, the treatment strategy should extend beyond by restoring dentition morphology and aesthetics. This report details a complex case of erosive dental wear addressed through a fully digital, full-arch fixed occlusal rehabilitation. A 4D virtual patient was created using multiple digital data sources, including intraoral scanning, 3D facial scanning, digital facebow registration, and mandibular movement tracing. With a comprehensive understanding of the masticatory system, various types of microinvasive prostheses were customized for each tooth, including labial veneers, buccal-occlusal veneers, occlusal veneers, overlays, inlays, and full crowns, were customized for each tooth. The reported digital workflow offered a predictable diagnostic and treatment strategy, which was facilitated by virtual visualization and comprehensive quality control throughout the process.
    牙磨耗、磨损、酸蚀症等多因素导致的非龋性牙体缺损在口腔临床中的发病率呈上升趋势,通常伴随着不同程度的口腔美学缺陷及功能障碍。对其进行全牙列固定修复咬合重建时,不仅要恢复牙列的形态和美观,更要实现咬合关系与整体口颌系统的协调。本文报道1例酸蚀症伴重度磨耗的病例,利用多模态数字化数据(口内扫描、面部扫描、电子面弓、下颌运动轨迹描记等)构建4D虚拟患者,制定全面的修复方案,进行不同牙齿的个性化微创修复,采用唇贴面、颊牙合贴面、牙合贴面、高嵌体、嵌体、全冠等多种修复体,完成数字化全牙列咬合重建治疗,为该疾病的诊治提供可视化、可全程质控的全局观诊疗策略。.
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  • 文章类型: Case Reports
    我们介绍了一个病例,该病例涉及腹腔镜带状袖状胃切除术(BSG)患者,有3个月的持续性呕吐病史,对流体的耐受性降低,和有限的软食品摄入量。经调查,确定了侵蚀带和胃扩张。治疗包括去除侵蚀带和胃的一部分,然后通过胃胃造瘘术恢复胃的连续性。
    We present a case involving a patient with laparoscopic banded sleeve gastrectomy (BSG) with a 3-month history of persistent vomiting, decreased tolerance for fluids, and limited intake of soft food items. Upon investigation, an eroded band and gastric dilatation were identified. The treatment involved the removal of the eroded band and a segment of the stomach, followed by the restoration of gastric continuity through a gastrogastrostomy.
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  • 文章类型: Case Reports
    胃束带术是减肥手术领域最早流行的手术之一。此病例详细介绍了一名患者的胃束带侵蚀的介绍和后续处理,希望指导其他医生并支持减少使用胃束带。病人,一名61岁的白人女性,提交给减肥诊所抱怨多年的上腹痛和酸反流的历史,用质子泵抑制剂治疗是难治的。她在2007年有腹腔镜可调节胃束带(LAGB)放置的病史。她最初成功实现了体重减轻,并保持了定期的波段调整,但在随访中失去了体重指数(BMI)为41.59kg/m2。推荐并进行上消化道(GI)内镜检查。这揭示了在胃底内具有管道的全部LAGB。建议并计划使用双内窥镜和腹腔镜手术切除。在尝试使用内窥镜圈套器移除带的过程中,遇到了重大困难。最终,使用内窥镜大鼠牙齿抓紧器将束带和导管溶解成四个部分,以完全去除。腹腔镜下成功移除带子的皮下端口,病人从手术室出院。她报告术后套件疼痛有限,但因长期症状缓解而失去随访。本报告描述了一名患者已知的LAGB带侵蚀并发症的表现和管理。这种并发症需要另外进行两次麻醉手术,并使患者发生食管穿孔的风险增加。与镇静有关的并发症,和腹部粘连的发展。她的案例旨在支持减肥手术中LAGB的患病率降低,并希望指导其他医生对类似病例的管理提出质疑。
    Gastric banding was one of the first operations to gain popularity within the field of bariatric surgery. This case details one patient\'s presentation and subsequent management of gastric band erosion with the hope of guiding other physicians and supporting the decreased use of gastric banding. The patient, a 61-year-old Caucasian female, presented to the bariatric clinic complaining of a multiyear history of epigastric pain and acid reflux, which was refractory to treatment with proton pump inhibitors. She had a history of laparoscopic adjustable gastric band (LAGB) placement in 2007. She was initially successful in achieving weight loss and maintained regular band adjustments but was lost to follow-up and regained a body mass index (BMI) of 41.59 kg/m2. Evaluation with upper gastrointestinal (GI) endoscopy was recommended and performed. This revealed a LAGB in its entirety with tubing within the gastric fundus. Removal with dual endoscopy and abdominal laparoscopy was recommended and scheduled. During attempts to remove the band using an endoscopic snare, significant difficulty was encountered. Ultimately, an endoscopic rat-tooth grasper was used to lyse the band and tubing into four sections for complete removal. The subcutaneous port of the band was successfully removed laparoscopically, and the patient was discharged from the operating room. She reported limited pain in the postoperative suite but was lost to follow-up regarding long-term symptom relief. This report describes the presentation and management of one patient\'s experience with a known complication of LAGB-band erosion. This complication necessitated two additional procedures with anesthesia and placed the patient at increased risk for esophageal perforation, complications related to sedation, and the development of abdominal adhesions. Her case aims to support the decreasing prevalence of LAGBs within bariatric surgery and hopes to guide other physicians challenged with the management of similar cases.
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  • 文章类型: Case Reports
    腹腔镜可调节胃束带术(LAGB)是减肥手术中获得批准的程序。然而,据报道,由于束带侵蚀引起的严重并发症。关于胃束带侵入胃壁并迁移到空肠引起的肠梗阻和穿孔的报道很少。病例简介:1例56岁男性患者,在LAGB术后10年后,因右下腹痛入院。术中胃束带显示胃壁侵蚀并向下移动至空肠,导致肠梗阻和空肠穿孔。结论:胃束带术后患者应进行定期门诊胃镜随访,以预防严重并发症的发生。
    Laparoscopic adjustable gastric banding (LAGB) is an approved procedure in bariatric surgery. However, serious complications due to band erosion have been reported. There have been few reports of intestinal obstruction and perforation caused by gastric banding invading the gastric wall and migrating to the jejunum. Case introduction: A 56-year-old man was admitted to our hospital with right lower abdominal pain ten years after LAGB surgery. An intraoperative gastric band showed erosion of the gastric wall and movement down to the jejunum, resulting in intestinal obstruction and jejunal perforation. Conclusion: Patients should undergo regular outpatient gastroscopic follow-up after gastric band surgery to prevent serious complications.
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  • 文章类型: Review
    腹腔镜可调节胃束带术(LAGB)通常用于治疗病态肥胖。然而,临床应用和长期随访,这个程序的缺点也暴露出来了,导致手术相关的并发症包括吞咽困难,胃内束带迁移,打滑,和胃束带侵蚀。下食管和胃瘘是LAGB术后罕见但危险的并发症。我们描述了在腹腔镜束带手术12年后发生的食管胃瘘的病例,并以多学科和分阶段的方式成功治疗。接下来是对文献的简短回顾。
    Laparoscopic adjustable gastric banding (LAGB) is commonly used in the treatment of morbid obesity. However, with clinical application and long-term follow-up, the shortcomings of this procedure were also exposed, bringing about surgery-related complications include dysphagia, intragastric band migration, slippage, and gastric band erosion. Lower esophageal and gastric fistula is a rare but dangerous complication after LAGB. We describe a case of esophagogastric fistula occurring twelve years after a laparoscopic band procedure and its successful management in a multidisciplinary and staged manner, followed by a short review of the literature.
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  • 文章类型: Case Reports
    数十年来,人工尿道括约肌(AUS)已用于治疗男性前列腺切除术后尿失禁,效果良好,并发症发生率低。成功的AUS放置可以显着改善患有压力性尿失禁的男性的生活质量。因此,该人群的并发症对患者可能是毁灭性的。最麻烦的并发症之一是袖口侵蚀,这就需要移植该装置,并注定一个人复发性尿失禁。虽然可以更换设备,设备更换充满了高侵蚀率。此外,接受AUS安置的男性有多种医疗合并症并不少见,这些合并症使得紧急外植体手术变得不常见.尽管如此,患有蜂窝织炎和明显症状的男性必须接受AUS侵蚀的去除。关于无症状侵蚀的男性的设备移除时间或需要的文献很少或没有发表。
    我们报告了一个病例系列,该病例系列有5名男性接受了无症状的袖口糜烂的延迟移植或无移植。所有五名男性在就诊时无症状,并且经历了延迟外植体或无外植体。侵蚀存在时,没有人需要紧急装置外植体。
    在无症状的AUS袖口侵蚀中,可能不需要紧急装置外植术,进一步的研究可能能够阐明男性在没有症状的情况下可以避免去除袖带侵蚀。
    UNASSIGNED: The artificial urinary sphincter (AUS) has been used to treat post-prostatectomy incontinence in men for decades with excellent outcomes and low complication rates. A successful AUS placement can dramatically improve the quality of life in men with stress urinary incontinence. Consequently, complications in this population can be devastating for the patient. One of the most troublesome complications is cuff erosion, which necessitates explantation of the device and dooms a man to recurrent incontinence. While the device can be replaced, device replacements are fraught with high erosion rates. Furthermore, it is not uncommon for men undergoing AUS placement to have multiple medical comorbidities that make urgent surgery for explantation unideal. Nonetheless, men with cellulitis and significant symptoms must undergo removal of an eroded AUS. There is little to no literature published on the timing or need for device removal in the man who has an asymptomatic erosion.
    UNASSIGNED: We report a case series of five men undergoing delayed or no explantation of an asymptomatic cuff erosion. All five men were asymptomatic at the time of presentation and underwent a delayed explant or no explant. No man required urgent device explant while the erosion was present.
    UNASSIGNED: Urgent device explantation may not be necessary in the asymptomatic AUS cuff erosion, and further study may be able to elucidate men who can avoid removal of cuff erosion when no symptoms are present.
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  • 文章类型: Published Erratum
    [这修正了文章DOI:10.3389/fpsyt.202.874263.].
    [This corrects the article DOI: 10.3389/fpsyt.2022.874263.].
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