通过皮肤进行内镜胃口术的临床实践指南
Chung Hyun Tae1, Ju Yup Lee2, Moon Kyung Joo3
1Department of Internal Medicine, Ewha Womans University College of Medicine, Seoul, Korea.
Clinical endoscopy
|July 10, 2023
概括
本指南引入了穿皮内镜胃口术 (PEG) 作为长期肠道营养中鼻胃管的替代品. 它提供了基于证据的建议,用于患有吞困难的患者.
科学领域:
- 胃肠病学 胃肠病学
- 临床医学 临床医学
- 医疗器械技术 医疗器械技术
背景情况:
- 在老年人群中,吞困难的患病率越来越高,需要长期的肠道营养.
- 鼻胃管虽然很常见,但在长时间使用时会导致并发症和降低生活质量.
- 穿皮内镜胃口术 (PEG) 提供了一个潜在的替代方案,在需要超过四周的时间内提供肠道养.
研究的目的:
- 建立韩国第一个皮肤内镜胃口术 (PEG) 的临床指南.
- 为医生提供全面的,基于证据的关于PEG程序的建议.
- 涵盖指示,抗生素预防,食方案,技术,并发症和PEG的管理.
主要方法:
- 通过韩国球菌和上胃肠道研究学院和韩国胃肠内镜学会的联合努力,制定临床指南.
- 对与PEG程序有关的当前临床证据的系统审查.
- 为临床实践制定基于共识的建议.
主要成果:
- 该指南详细说明了PEG安置的具体说明.
- 提供了关于预防性抗生素的使用以及启动肠道营养的最佳时间的建议.
- 提供关于管道安置技术,并发症管理,管道更换和切除的指导.
结论:
- 这些指导方针为韩国PEG程序提供了一种标准化,基于证据的方法.
- 这些指导方针的实施旨在改善患者的治疗结果和生活质量.
- 该文件是内镜医生和医生管理需要长期肠道营养的患者的关键资源.
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