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Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

119
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
119
Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

170
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
170
Esophageal Varices-II: Clinical Features and Management01:28

Esophageal Varices-II: Clinical Features and Management

96
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
96
Endoscopic Procedures III: Video Capsule Endoscopy01:28

Endoscopic Procedures III: Video Capsule Endoscopy

188
Capsule endoscopy, or wireless or video capsule endoscopy, is a diagnostic procedure for examining the entire gastrointestinal tract. Patients swallow a capsule about the size of a vitamin tablet. The capsule is equipped with a transmitter, a battery, an LED light source, and a color video camera to capture images throughout the gastrointestinal tract. This procedure is particularly useful for diagnosing conditions such as Crohn's disease, ulcerative colitis, tumors, polyps, ulcers,...
188
Urinary Tract Calculi VI: Surgical Management01:25

Urinary Tract Calculi VI: Surgical Management

10
Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
10
Esophageal Strictures-II: Clinical Features and Management01:26

Esophageal Strictures-II: Clinical Features and Management

103
Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
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Updated: Jul 20, 2025

Surgical Induction of Endolymphatic Hydrops by Obliteration of the Endolymphatic Duct
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Surgical Induction of Endolymphatic Hydrops by Obliteration of the Endolymphatic Duct

Published on: January 22, 2010

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关于"西格体卷发症管理,仅仅是内透视卷发症?"的评论

Marta García Calonge1, Eva Barreiro Alonso2

  • 1Aparato Digestivo, Hospital Universitario Central de Asturias, Spain.

Revista espanola de enfermedades digestivas
|August 4, 2023
PubMed
概括
此摘要是机器生成的。

西格体卷发症 (SV) 是肠道阻塞的主要原因,通常与人口老龄化和慢性疾病有关. 对脆弱患者来说,内镜治疗可能是一个不那么侵入性的选择,可能会减少复发.

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Microvascular Decompression: Salient Surgical Principles and Technical Nuances
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科学领域:

  • 胃肠病学 胃肠病学
  • 结肠直肠手术 结肠直肠手术
  • 老年医学 老年医学

背景情况:

  • 在全球范围内,西格体卷发症 (SV) 是结肠阻塞的重要原因.
  • 人口老龄化和慢性疾病增加有助于SV发病率.
  • 慢性疾病和药物副作用的肠道参与可以削弱结肠,导致SV.

研究的目的:

  • 讨论西格体卷发症的发生率和复发情况.
  • 评估西格体卷发症不断发展的治疗策略.
  • 为了比较Sigmoid Volvulus管理的内镜和外科手术方法.

主要方法:

  • 关于西格体卷发症发生率和复发的文献综述.
  • 考虑到患者的并发病 (ASA分数) 的治疗结果的分析.
  • 讨论内镜和外科手术技术的进展.

主要成果:

  • 在结肠减压后,SV的复发很常见.
  • 随着时间的推移,内镜程序得到了显著的改进.
  • 最少侵入性的外科手术技术提供更低的并发症率和更快的恢复.

结论:

  • 建议选择性手术用于SAA得分为1-3的SV患者.
  • 肠镜治疗方法,如大肠切除术或细肠切除术是脆弱患者 (ASA>3) 的可行的一线治疗方法.
  • 需要进一步的研究来比较内镜和微创手术的结果.