在上部胃肠道外科手术后,内镜真空疗法治疗静脉漏
Lisanne M D Pattynama1,2,3,4, Roos E Pouw3,5, Mark I van Berge Henegouwen1,3
1Department of Surgery, Amsterdam UMC location University of Amsterdam, Amsterdam, The Netherlands.
Endoscopy
|May 30, 2023
概括
内镜真空疗法 (EVT) 显示出对治疗上部胃肠道静脉泄漏的前景,在初步研究中成功率为74%. 这种微创手术方法可能有助于避免重复手术.
科学领域:
- 胃肠病学 胃肠病学
- 手术创新 在外科创新.
- 最少侵入性手术的方法
背景情况:
- 在上部胃肠道外科手术后,静脉泄漏是严重的并发症.
- 透视真空疗法 (EVT) 已成为这些泄漏的新型治疗选择.
- 三级转诊中心正在评估EVT在管理复杂病例中的有效性.
研究的目的:
- 在上部肠道外科手术后报告EVT用于道泄漏的初始临床经验.
- 评估与EVT相关的成功率,死亡率和不良事件.
- 评估EVT作为重新操作的潜在替代方案.
主要方法:
- 回顾性和前性研究设计 (2018年1月-2021年10月).
- 包括为上部胃肠道无静脉泄漏而接受 EVT 治疗的患者.
- 主要终点:EVT成功率;次要终点:死亡率和不良事件.
主要成果:
- 38名患者 (31名男性,平均年龄66岁) 在食道切除或胃切除术后因道泄漏而接受EVT.
- EVT的成功率达到了74% (28/38名患者).
- 10名患者出现故障,原因包括并发症和未完成的缺陷关闭;平均EVT持续时间为33天.
结论:
- 最初的经验表明,EVT是上部肠道道泄漏的可行的治疗方法,成功率为74%.
- EVT是一个有希望的,不那么侵入性的治疗选择,可以避免需要进一步进行大手术.
- 预计进一步的经验和指示的改进将提高EVT的成功率.
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