在腹部手术后对腹痛的诊断进行前性研究:OPERATE研究
Nienke van Olst1,2, Marjolein R A Vink3, Sterre C P de Vet3
1Department of Bariatric Surgery, Spaarne Gasthuis, Spaarnepoort 1, 2134 TM, Hoofddorp, The Netherlands. nvanolst@spaarnegasthuis.nl.
Obesity surgery
|August 10, 2023
概括
超过三分之一的腹部外科手术后腹痛病例仍然无法解释. 常见的诊断包括胆病,和内部,影响患者的康复.
科学领域:
- 胃肠病学 胃肠病学
- 腹部外科手术的结果
- 腹部疼痛的诊断 腹部疼痛的诊断
背景情况:
- 减肥手术 (BS) 后的长期随访经常显示持续的腹痛.
- 这些腹痛投诉的很大一部分往往缺乏明确的诊断.
研究的目的:
- 为了前性地调查腹部手术后腹痛的诊断.
- 确定无法解释的投诉的百分比,后续访问的数量和有效性,以及确立诊断所需的时间.
主要方法:
- 在Spaarne Gasthuis医院对441名经历腹部疼痛后腹部手术的患者进行前性研究.
- 将诊断分为假定和最终的类别,并分析后续访问,再入院和重新手术.
主要成果:
- 38.5%的患者在研究期末有不明原因的腹痛投诉.
- 常见的最终诊断包括胆病,和内部. 据推测的诊断包括刺激性肠综合征 (IBS) 和便秘.
- 诊断到诊断的中位时间有显著差异,假定病例为16.0天,确诊病例为2.0天,不明原因病例为13.5天. 患有IBS的患者有更高的不明原因投诉率.
结论:
- 减肥手术后的大量腹部投诉仍然没有解释.
- 确定的关键诊断是胆病,和内部.
- 需要进一步的研究,以了解和管理无法解释的腹部疼痛.
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