经过口腔内镜肌瘤切除后入院的阿喀拉西亚患者的临床结果和并发症
Dushyant Singh Dahiya1, Fnu Nivedita2, Abhilash Perisetti3
1Department of Internal Medicine, Central Michigan University College of Medicine, Saginaw, MI, USA.
Gastroenterology research
|June 23, 2023
概括
经过口腔内镜肌切除术 (POEM) 住院治疗的病例正在增加,但仍然是安全的,没有住院死亡率. 这项研究确定了POEM后需要住院治疗的患者的特征和结果.
科学领域:
- 胃肠病学 胃肠病学
- 最少侵入性的手术
- 医疗保健服务研究 医疗服务研究
背景情况:
- 通过口腔内镜肌切除术 (POEM) 是一种新兴的轻微侵入性治疗 achalasia.
- 虽然同日出院通常是可行的,但有些患者需要在POEM后住院治疗.
- 了解住院模式对于优化患者护理至关重要.
研究的目的:
- 为了确定在美国POEM后住院的阿喀拉西亚患者的特征.
- 分析POEM相关住院治疗的临床结果和趋势.
- 评估POEM在现实世界的住院患者环境中的安全性和可行性.
主要方法:
- 美国国家住院患者样本 (2016-2019) 的分析.
- 包括在POEM后入院的成年阿喀拉西亚患者.
- 检查住院特征和临床结果.
主要成果:
- 在POEM (2016-2019) 后,1885名阿喀拉西亚患者被住院治疗.
- 住院病例每年增加;老年患者 (65-79岁) 和白人女性受影响最多.
- 没有观察到住院患者的死亡率,食道穿孔是最常见的并发症 (1.3%).
结论:
- 在POEM之后需要住院治疗的阿喀拉西亚患者的发病率有所上升.
- POEM 显示出出色的安全性,其证据是没有住院患者死亡率.
- 对患者选择和术后管理的进一步研究可以完善护理途径.
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