手术性静脉关闭前的常规内镜:一个过时的概念
Maxine E Schreiber1, Marcel A Schneider2, Fritz R Murray1,3
1Department of Gastroenterology, University Hospital Zurich, Raemistrasse 100, 8091, Zurich, Switzerland.
对于无症状的患者,可能不需要在闭口前进行例行术前内镜检查. 然而,对于那些符合结直肠癌查标准的人来说,它是有指示的,可能会改变手术管理.
科学领域:
- 胃肠病学 胃肠病学
- 结肠直肠手术 结肠直肠手术
- 手术瘤学手术瘤学
背景情况:
- 术前内镜在临时闭口前是标准的,但缺乏临床益处的证据.
- 目前的实践假定结肠粘膜的内镜评估和解是操作管理的关键.
研究的目的:
- 为了确定在进行骨髓逆转手术的无症状患者手术前内镜检查期间病理发现的发生率.
- 评估常规手术前内镜对手术管理决策的临床效用和影响.
主要方法:
- 对187名成年患者的回顾性分析,这些患者在2002年至2020年期间接受了 Ostomy 逆转评估.
- 评估内镜识别的病理发现及其对无症状患者后续治疗的影响.
主要成果:
- 相关的粘膜发现发生在26.3%的无症状患者中;在8.7%的患者中发现了解位发现.
- 在5.1%的无症状病例中,内镜检查结果导致了手术管理的改变.
- 51-60岁的患者显示出与内镜检查结果影响管理的显著联系.
结论:
- 在无手术前内镜的情况下,对于无症状的患者来说,可以接受 Ostomy 关闭手术.
- 对于符合结直肠癌查标准的无症状患者,内镜检查是适用的.
- 常规的手术前内镜检查可能不会对所有接受骨逆转的患者具有临床益处.
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