在低收入国家的小肠阻塞中使用胃镜的可行性
Nichole Starr1, Mekdim Tadesse2, Chinaemere Igwebuike3
1Department of Surgery, University of California, San Francisco, San Francisco, California.
The Journal of surgical research
|October 6, 2023
概括
已知用于小肠阻塞 (SBO) 管理的水溶性对比剂 (WSCAs),但在埃塞俄比亚很少使用. 手术后的粘附是SBO的越来越常见的原因,WSCAs可能是诊断和治疗的可行性.
科学领域:
- 胃肠病学 胃肠病学
- 手术管理的手术管理.
- 低收入环境中的公共卫生.
背景情况:
- 小肠阻塞 (SBO) 是埃塞俄比亚常见的住院原因.
- 水溶性对比剂 (WSCAs) 可以预测粘合性SBO的非手术解脱,并减少手术干预和住院时间.
- 目前的实践模式和在低收入环境中用于SBO的Gastrografin在很大程度上仍然没有特征.
研究的目的:
- 描述埃塞俄比亚亚的斯亚贝巴SBO的当前管理实践.
- 评估WSCA在SBO管理中的使用情况.
- 为了确定SBO入院患者的结局.
主要方法:
- 采用混合方法的方法,包括对埃塞俄比亚各地的外科医生进行调查.
- 在亚的斯亚贝巴的五家公共医院进行了回顾性记录审查.
- 收集了关于外科医生对WSCAs的认识,其使用,SBO病因和患者管理结果的数据.
主要成果:
- 在76名接受调查的外科医生中,63%的人听说过SBO的WSCAs,但只有11%的人使用它们.
- 在对149名SBO患者的综述中,结 (39.6%) 和小肠卷发 (20.8%) 是最常见的病因.
- 大多数患者 (83.2%) 接受了手术;在手术和非手术组中,粘接是最常见的诊断.
结论:
- 埃塞俄比亚SBO的病因可能正在转向术后粘附.
- 在这种情况下,尽管有预期的挑战,但实施SBO的胃谱协议是可行的.
- 需要进一步的研究来评估WSCAs在埃塞俄比亚和类似的低收入和中等收入国家对SBO的有效性.
相关概念视频
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
99
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...
99
Lower GI Series: Barium Enema
303
A Barium Enema, or a lower GI series, is a specialized radiographic examination designed to visualize the lower gastrointestinal tract, specifically the colon and rectum. This procedure is instrumental in diagnosing various conditions such as colorectal cancer, polyps, diverticulosis, and inflammatory bowel disease.
Procedure Details
The examination begins by inserting a lubricated rectal tube into the patient's rectum to administer a radiopaque barium solution. The barium flow is carefully...
Procedure Details
The examination begins by inserting a lubricated rectal tube into the patient's rectum to administer a radiopaque barium solution. The barium flow is carefully...
303
Inflammatory Bowel Disease V: Surgical Management
161
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
161
Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding
184
Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
184


