深度镇静与内镜外套胃形成术 (ESG) 的口腔管输入:初步经验
Elisa Reitano1,2, Pietro Riva1,2, Deborah Keller3
1Research Institute Against Digestive Cancer (IRCAD), Strasbourg, France.
Surgical endoscopy
|June 5, 2023
概括
在深度镇静 (DS) 下进行的内镜套胃形成术 (ESG) 是一种安全有效的替代方法,可以替代带口腔输管 (OTI) 进行全身麻醉. 这种方法增加了门诊程序,减少了药物需求,而不会影响减肥结果.
科学领域:
- 腹腔内镜检查 腹腔内镜检查 腹腔内镜检查
- 麻醉学 麻醉学
- 胃肠病学 胃肠病学
背景情况:
- 内镜套胃形成术 (ESG) 是一种新兴的减肥手术.
- 目前,ESG在全身麻醉下进行,并进行口腔内输管 (OTI).
- 深度镇静 (DS) 在先进的内镜手术中已经被证明是可行的.
研究的目的:
- 为了比较在深度镇静 (DS) 下进行的ESG与OTI的结果.
- 评估DS的ESG安全性和可行性.
- 分析患者的人口统计,手术内和术后的结果.
主要方法:
- 对ESG患者的潜在机构注册表审查 (12/2016-1/2021).
- 分为OTI或DS队列的分层,包括每组的前50个病例.
- 人口统计和结果的单变量和多变量分析,长达90天.
主要成果:
- 在DS组中,Mallampati评分或输管治疗的需要没有显著差异.
- DS患者年轻,BMI较低,手术时间较短,门诊手术率较高.
- 经过手术后,DS组的阿片类药物和抗药物使用量减少,体重在3个月内减轻,并且没有重新入院.
结论:
- 在DS下的ESG在特定患者中是安全的和可行的.
- DS增加了门诊护理率,减少了药物需求,并实现了类似的减肥结果.
- 仔细的患者选择是优化持久减肥的关键.
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