在磁缩管增大后需要频繁扩张:评估相关因素和结果
Inanc S Sarici1, Sven E Eriksson1, Ping Zheng1
1Foregut Division, Surgical Institute, Allegheny Health Network, 4815 Liberty Avenue, Suite 439, Pittsburgh, PA, 15224, USA.
Surgical endoscopy
|June 19, 2023
概括
在磁缩器增大 (MSA) 后的频繁扩张表明结果不佳. 手术前的鼻,高的 LES 压力和食道机动性差,预测需要频繁扩张和潜在的装置移除.
科学领域:
- 胃肠病学 胃肠病学
- 手术创新 在外科创新.
- 患者的治疗结果.
背景情况:
- 缺食症是磁性关节增大 (MSA) 后的一个常见并发症.
- 很大一部分患者需要重复延长治疗,但对这一群体的数据有限.
- 这项研究调查了MSA后频繁延迟相关的预测因素和结果.
研究的目的:
- 为了确定在MSA后的第一年内频繁延迟的预测因素.
- 评估需要频繁延迟治疗的患者的治疗结果.
- 为患者咨询提供有关潜在风险的信息.
主要方法:
- 对从697名接受MSA的患者前性收集数据的回顾性审查.
- 术后1年内频繁扩张,定义为2次或更多次.
- 频繁扩张和不频繁扩张组之间的基线特征和客观测试的比较.
主要成果:
- 8.9%的患者需要经常延长.
- 频繁扩张与更高的GERD-HRQL得分,PPI使用,不满和设备移除有关.
- 频繁扩张的预测因素包括手术前的鼻痛,高的IRP和受损的玻尿酸清除.
- 设备移除的预测因素包括手术前的鼻痛,高 LES 压力和吞失败.
结论:
- 频繁的MSA后延期是低于最佳症状控制的标志物,以及更高的不满和设备移除率.
- 患有手术前鼻病, LES 压力升高或食道运动性差的患者有更高的风险.
- 为这些患者提供关于潜在不良结果的咨询至关重要.
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