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粘性小肠阻塞的管理:大型回顾性研究的结果

E Maienza¹, G Godiris-Petit¹, S Noullet¹

¹Department of General and Endocrine Surgery, Hospital Pitié Salpêtrière, APHP, Sorbonne University Paris, 47-83 Boulevard de l'Hôpital, 75651, Paris Cedex 13, France.

International journal of colorectal disease

|September 5, 2023

概括

这项研究表明,使用Gastrografin®治疗粘性小肠阻塞 (SBO) 的安全方案. 它有助于在手术和非手术治疗之间快速决定,减少因缺血而晚期小肠切除的风险.

科学领域:

胃肠病学胃肠病学
外科胃肠道外科手术
腹部外科手术腹部外科手术

背景情况:

手术后的粘性小肠阻塞 (SBO) 是手术入院的常见原因.
虽然许多SBO病例可以通过非手术治疗,但治疗建议仍在争论中.
口服水溶性对比剂越来越多地被研究用于SBO管理.

研究的目的:

评估使用Gastrografin®的粘合性小肠阻塞 (SBO) 的管理方案.
评估本协议的安全性和有效性,以加速SBO患者的决策.
为了确定延迟手术和小肠切除缺血的风险.

主要方法:

一项661名SBO患者的观察性回顾性研究,这些患者使用了Gastrografin®协议进行管理.
紧急手术适用于周周炎,缺血或持续的严重症状.
非手术的管理包括鼻胃减压,Gastrografin®的使用和紧测试.

主要成果:

78%的SBO患者进行了非手术治疗.
183名患者 (36.0%) 最初进行非手术治疗,最终需要手术.
只有10.0%的患者需要小肠切除,其中5 (10.0%) 患有肠道缺血症.

结论:

Gastrografin® 协议是管理粘合剂 SBO 的安全和有价值的策略.
该协议有效地加速了SBO治疗的决策过程.
晚期小肠切除因缺血的估计风险为0.9%.

关键词:

诊断协议是一个诊断协议.在口服中使用胃谱素.小肠阻塞小肠阻塞水溶性对比剂水溶性对比剂

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