{"id":566,"date":"2013-12-24T19:15:58","date_gmt":"2013-12-24T19:15:58","guid":{"rendered":"https:\/\/sred.ro\/?p=566"},"modified":"2022-01-18T13:11:21","modified_gmt":"2022-01-18T13:11:21","slug":"utilizarea-unui-sistem-over-the-scope-clip-otsc-pentru-inchiderea-unei-perforatii-esofagiene-iatrogene-secundara-dilatarii-cu-balon-pentru-acalazie","status":"publish","type":"post","link":"https:\/\/sred.ro\/en\/utilizarea-unui-sistem-over-the-scope-clip-otsc-pentru-inchiderea-unei-perforatii-esofagiene-iatrogene-secundara-dilatarii-cu-balon-pentru-acalazie\/","title":{"rendered":"USING AN OVER-THE-SCOPE CLIP SYSTEM FOR THE CLOSURE OF AN INTRATHORACIC ESOPHAGEAL PERFORATION AFTER BALLOON DILATION FOR ACHALASIA"},"content":{"rendered":"<p>Prezent\u0103m cazul unei perfora\u021bii esofagiene secundare dilat\u0103rii endoscopice cu balon la o femeie de 54 de ani, \u00eenchis\u0103 cu un OTSC. Endoscopia fost efectuat\u0103 cu un sistem Evis Exera II (Olympus) \u0219i a ar\u0103tat o stenoz\u0103 a esofagului inferior compatibil\u0103 cu diagnosticul deja cunoscut de achalazie. Dilatarea cu balon a fost efectuat\u0103 cu un sistem de infla\u021bie Alliance II \u0219i un dilatator cu balon Rigiflex II (Boston Scientific). Dup\u0103 dilatare, endoscopia a ar\u0103tat o perfora\u021bie a peretelui esofagian, care a fost \u00eenchis\u0103 cu un sistem OTSC din nitinol (Ovesco). Examinarea radiologic\u0103 a esofagului efectuat\u0103 ulterior, nativ \u0219i cu administrare de substan\u021b\u0103 de contrast per os (Gastrografin), a ar\u0103tat prezen\u021ba clip-ului la nivelul esofagului inferior \u0219i nu a eviden\u021biat extravazarea substan\u021bei de contrast \u00een mediastin. Pacienta nu a prezentat alte complica\u021bii \u0219i a fost externat\u0103 o s\u0103pt\u0103m\u00e2n\u0103 mai t\u00e2rziu.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Prezent\u0103m cazul unei perfora\u021bii esofagiene secundare dilat\u0103rii endoscopice cu balon la o femeie de 54 de ani, \u00eenchis\u0103 cu un OTSC. Endoscopia fost efectuat\u0103 cu un sistem Evis Exera II (Olympus) \u0219i a ar\u0103tat o stenoz\u0103 a esofagului inferior compatibil\u0103 cu diagnosticul deja cunoscut de achalazie. Dilatarea cu balon a fost efectuat\u0103 cu un sistem [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":567,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[26],"tags":[],"class_list":["post-566","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-cazul-lunii"],"featured_image_src":{"landsacpe":["https:\/\/sred.ro\/wp-content\/uploads\/2021\/11\/thumb_74_default_big-700x445.jpeg",700,445,true],"list":["https:\/\/sred.ro\/wp-content\/uploads\/2021\/11\/thumb_74_default_big-463x348.jpeg",463,348,true],"medium":["https:\/\/sred.ro\/wp-content\/uploads\/2021\/11\/thumb_74_default_big-245x300.jpeg",245,300,true],"full":["https:\/\/sred.ro\/wp-content\/uploads\/2021\/11\/thumb_74_default_big.jpeg",700,857,false]},"_links":{"self":[{"href":"https:\/\/sred.ro\/en\/wp-json\/wp\/v2\/posts\/566","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/sred.ro\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/sred.ro\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/sred.ro\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/sred.ro\/en\/wp-json\/wp\/v2\/comments?post=566"}],"version-history":[{"count":2,"href":"https:\/\/sred.ro\/en\/wp-json\/wp\/v2\/posts\/566\/revisions"}],"predecessor-version":[{"id":691,"href":"https:\/\/sred.ro\/en\/wp-json\/wp\/v2\/posts\/566\/revisions\/691"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/sred.ro\/en\/wp-json\/wp\/v2\/media\/567"}],"wp:attachment":[{"href":"https:\/\/sred.ro\/en\/wp-json\/wp\/v2\/media?parent=566"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/sred.ro\/en\/wp-json\/wp\/v2\/categories?post=566"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/sred.ro\/en\/wp-json\/wp\/v2\/tags?post=566"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}