星期四, 1月 26, 2006

Balloon dilator BH Harai, et al JVIM 1995 pp332-335

boston scientific 0917 938986 27477278 胡經理 37662148

staet with 10 mm balloon dilator

pressure to 45mmhg to 50 mmhg

45-60 sec

repeat when esophageal damage is limited

med: antibiotic sucealfate meto h2 blocker antacid

food within 24 hrs


result 1/13 die

cat severe tear hemorrage trauma pneumothorax/mediastinum

安樂死

3 die

1 unrelated

1 no improvement and cost 安樂死

1 噎到隔天猝死 無屍解

46.2% 麻醉造成食道狹窄

endoscopic economical and practical

complication

bleeding => not severe

perforation

tear

small stricture cause perforation

心得

利用balloon dilation是治療 esophageal stricture的好方法

但是昂貴的價格可能讓主人卻步

一個尺寸的管子就要15000

還沒有包括壓力計... ><

淒慘喔

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