内镜中的牙创伤:第三级内镜中心的系统审查和经验
Chelsea Qiu Lin Tan1, Gabrielle Yi Wen Loh1, Tay Wei Rong Benjamin2
1Yong Loo Lin School of Medicine, National University of Singapore, Singapore 117594, Singapore.
World journal of gastrointestinal endoscopy
|September 4, 2023
概括
在内镜检查期间发生的牙科并发症约占300例中1例. 在内镜前的查和及时的牙科咨询可以有效地预防和管理这些伤害.
科学领域:
- 胃肠病学 胃肠病学
- 牙科手术 牙科手术
- 患者安全 患者安全
背景情况:
- 牙损伤是显著的,但经常被忽视的,在内镜手术期间可预防的并发症.
- 虽然通常与麻醉有关,但牙损伤也是内镜中的风险.
研究的目的:
- 确定门诊内镜检查期间发生的牙损伤的频率和影响.
- 审查现有文献,并介绍来自医院审计的调查结果.
主要方法:
- 11,265例门诊上部内镜手术的回顾性审计 (2019年6月 - 2021年5月).
- 系统的文献审查,以比较牙科并发症率.
主要成果:
- 在0.284%的手术中发现了牙科并发症,文献审查显示了0.33%的类似率.
- 风险因素包括先前存在的牙病理和假牙;健康的牙也可能受到影响.
- 前内镜牙科病史和检查对于风险评估至关重要. 在受伤后,迅速拔牙和去看牙医是至关重要的.
结论:
- 在300例上部内镜检查中,大约有1例出现牙科并发症.
- 简单的内镜前查可以显著预防这些伤害.
- 实施特定的协议可以进一步减轻内镜期间牙损伤的风险.
更多相关视频
相关概念视频
Endoscopic Procedures I: Esophagogastroduodenoscopy
169
An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
During an EGD, the endoscope can be used to:
169
Endoscopic Procedures V: ERCP
345
Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Patient...
345
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
114
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...
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...
114
Endoscopic Studies I: Bronchoscopy and Thoracoscopy
231
Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
231
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
Endoscopic Studies II: Thoracocentesis
325
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
325


