消化管切除术后的:看和等是安全的吗?
John O Barron1, Sadhvika Ramji1, Rachel Nemoyer1
1Department of Thoracic and Cardiovascular Surgery, Heart, Vascular, and Thoracic Institute, Cleveland Clinic Foundation, Cleveland, Ohio.
The Journal of thoracic and cardiovascular surgery
|September 6, 2023
概括
在食道切除术后,无症状的通道的紧急并发症很罕见. 观察和等待的方法通常是合适的,在有症状的患者中考虑选择性修复.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
- 椎间板手术 手术 椎间板手术
背景情况:
- 在食道切除术后,也可能出现管.
- 无症状管的紧急并发症风险尚未得到充分证实.
研究的目的:
- 为了评估带的发生率和时间,在食道切除术后进行诊断.
- 为了评估无症状管的结果,非手术治疗.
主要方法:
- 对1214名食道切除术患者 (2006-2021) 的回顾性审查.
- 计算机断层扫描发现了管.
- 医疗记录分析诊断,症状,并发症和管理.
主要成果:
- 在食道切除术后3年3.3%和10年7.7%的患者中发现了对导管.
- 没有患者出现紧急并发症,19%的患者出现症状.
- 在有症状的病例中进行了选择性修复.
结论:
- 随着时间的推移,带的风险会增加,因此需要长期监测症状.
- 无症状的带很少引起紧急并发症.
- 对无症状病例而言,观察和等待策略是可行的,对于持久症状而言,有选择性的修复.
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