カウスティック・インゲージション
Mircea Chirica1, Luigi Bonavina2, Michael D Kelly3
1Department of Digestive and Emergency Surgery, University Hospital of Grenoble, Grenoble Alpes University, Grenoble, France.
Lancet (London, England)
|January 4, 2017
まとめ
食道と胃に重度の損傷を与える可能性があります. CTスキャンは治療決定に役立ちますが,最適の管理と狭窄症に対する内視鏡ステントの役割についてはさらなる研究が必要です.
科学分野:
- 胃腸内科
- 緊急 医療
- 手術 集中 治療
背景:
- 腐食性摂取は 稀ですが 深刻な医療上の緊急事態です
- 臨床的管理ガイドラインは存在しますが,臨床医の経験が限られているため,実践の変動が持続しています.
- 傷害は軽微から生命を脅かす 消化管と胃の全太さの死滅まで様々です
研究 の 目的:
- 腐食性摂取傷害の管理に関する現在の証拠を要約します.
- 臨床医のための管理計画を提供する.
- 患者の治療結果を改善するための 将来の研究分野を特定する
主な方法:
- 既存の文献と臨床ガイドラインのレビュー
- 診断画像の比較分析 (CTスキャンと内視鏡検査)
- 外科的切除,観察,および内視鏡による介入を含む治療選択肢の議論.
主要な成果:
- 緊急切除や観察のために患者の層を分けるのにCTスキャンの方が有効です.
- 食道収縮はよくある合併症です.
- エンドスコピーのステントは潜在的ですが,腐食性狭窄症におけるその役割はまだ確立されていません.
結論:
- 腐食性物質の摂取管理には 構造的なアプローチが必要である.
- 特に食道狭窄症の 最適な治療戦略を定義するにはさらなる研究が不可欠です
- 改善された管理プロトコルは 腐食性の摂取による重篤な影響を軽減できます
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