通过皮肤进行内镜内切除术
Soumya Jagannath Mahapatra1, Pramod Kumar Garg1
1Department of Gastroenterology, All India Institute of Medical Sciences, New Delhi, India.
Gastrointestinal endoscopy clinics of North America
|September 14, 2023
概括
透皮内镜性瘤切除术 (PEN) 为感染瘤性胰腺炎提供了最少的侵入性治疗方法. 这种床边手术显示出80%的成功率,几乎没有不良事件,为重症患者提供了至关重要的选择.
科学领域:
- 胃肠病学 胃肠病学
- 最少侵入性的手术
背景情况:
- 在急性胰腺炎中感染死液的收集导致严重的发病率和死亡率.
- 涉及排水和死体切除的逐步方法对于那些对抗生素不反应的患者至关重要.
研究的目的:
- 评估皮肤内镜性瘤切除术 (PEN) 作为感染性瘤性胰腺炎的微创治疗方法的疗效和安全性.
主要方法:
- 对于切除术,PEN使用的是穿皮导管通道,并配有灵活的内镜.
- 该程序可以在有意识的镇静下进行,甚至在重症监护室 (ICU) 患者的床边进行.
- 它特别适合横向放置的感染死液收集器.
主要成果:
- 在治疗感染性死性胰腺炎方面,PEN的临床成功率达到了80%.
- 该程序与最小的不良事件有关.
- 它在床边进行的能力有利于重症患者.
结论:
- 穿皮内镜性瘤切除术是一种有效且安全的最小侵入性选择,用于治疗感染瘤性胰腺炎.
- 佩恩为传统体切除术提供了一种有价值的替代方案,特别适用于特定的液体采集位置和危急病患者.
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